Hendricks Dental Office

NPI #1568757359 in Hendricks, Minnesota

Provider Information

NPI Number: 1568757359
Entity Type: Organization
Organization Name: Hendricks Dental Office
Primary Specialty: Dentist
Enumeration Date: Jun 9, 2011
Last Updated: Jun 9, 2011

Practice Location

Address: 115 N MAIN ST
City: Hendricks
State: Minnesota
ZIP Code: 56136-9519
Phone: (507) 275-3152

Authorized Official

Name: DR. ROLLAND CLIFFORD DIGRE, DDS
Title: DENTIST
Phone: (507) 275-3152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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