IVAN K HENDRICKSON

ST GEORGE, UT
NPI1003079260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: UT  143297)
Enumeration Date2008-07-08
Last Update Date2013-03-06
Business Address
-- IVAN K HENDRICKSON DDS
720 S RIVER RD STE B210
ST GEORGE, UT 84790-5584
Phone number: 435-656-0507
Mailing Address
-- IVAN K HENDRICKSON DDS
720 S RIVER RD STE B210
ST GEORGE, UT 84790-5584
Phone number: 435-656-0507
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