| Hendricks Dental Office | |
|
115 N Main St Hendricks MN 56136-9519 | |
| (507) 275-3152 | |
| (507) 275-3153 |
| Full Name | Hendricks Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 115 N Main St, Hendricks, Minnesota |
| Authorized Official Name and Position | Rolland Clifford Digre (DENTIST) |
| Authorized Official Contact | 5072753152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hendricks Dental Office 115 N Main St Hendricks MN 56136-9519 Ph: (507) 275-3152 | Hendricks Dental Office 115 N Main St Hendricks MN 56136-9519 Ph: (507) 275-3152 |
| NPI Number | 1568757359 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568757359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8432 (Minnesota) | Primary |