Organization · Type 2 NPI

Ivan K. Hendricksond.d.s.,inc

General Practice Dentistry · St. George, UT

NPI number 1528092913 Active

About NPI 1528092913

Ivan K. Hendricksond.d.s.,inc's National Provider Identifier is 1528092913, issued on Jul 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in St. George, UT. The record was last updated on Aug 22, 2020.