Darrell W Hedrick DDS LLC

NPI #1548652225 in Neosho, Missouri

Provider Information

NPI Number: 1548652225
Entity Type: Organization
Organization Name: Darrell W Hedrick DDS LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Mar 4, 2015
Last Updated: Mar 4, 2015

Practice Location

Address: 2001 LAQUESTA DRIVE
City: Neosho
State: Missouri
ZIP Code: 64850
Phone: (417) 451-3545

Authorized Official

Name: DR. DARRELL W HEDRICK, DDS
Title: OWNER
Phone: (417) 451-3545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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