| NPI | 1932116589 |
|---|---|
| Professional Name | R. HEATH HENDRICKSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: UT 5136597-9922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 51365979922) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-09-13 |