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1578916557
STEPHEN HENDRICKS
SOUTH BEND, IN
NPI
1578916557
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IN 12012768A)
Enumeration Date
2016-07-14
Last Update Date
2021-01-13
Business Address
Dr. STEPHEN HENDRICKS D.D.S.
17455 DOUGLAS RD
SOUTH BEND, IN 46635-1732
Phone number: 574-243-5586
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Mailing Address
Dr. STEPHEN HENDRICKS D.D.S.
17455 DOUGLAS RD
SOUTH BEND, IN 46635-1732
Phone number: 574-243-5586
Copy
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