Dr. Heath Hendrickson

NPI #1912212895 in Provo, Utah

Provider Information

NPI Number: 1912212895
Entity Type: Organization
Organization Name: Dr. Heath Hendrickson
Primary Specialty: Dentist
Enumeration Date: Aug 16, 2010
Last Updated: Aug 16, 2010

Practice Location

Address: 2230 N UNIVERSITY PKWY
Address 2: 8A
City: Provo
State: Utah
ZIP Code: 84604-1509
Phone: (801) 370-0050

Authorized Official

Name: DR. HEATH HENDRICKSON, DDS
Title: OWNER
Phone: (801) 370-0050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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