NPI 1083978316
Heath Hendrickson Mbr
Practice location
- Address
- 2230 N University Pkwy STE 8a, Provo, UT 84604-6702
- Phone
- (801) 370-0050
Authorised official
- Name
- Raymond Heath Hendrickson
- Title
- Owner
- Phone
- (801) 370-0050
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1083978316
- Entity type
- Organization
- NPI issued
- 2 Jul 2012
- Record last updated
- 2 Jul 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.