JAKE HENDRICKSON

Dental Assistant

Active Individual
NPI: 1235753344

Practice Address

1667 COCHRANE CIR BLDG 7495
Fort Carson, CO 80913

Phone: (719) 526-5537

Specialties

Specialty Code Primary License
Dental Assistant 126800000X Yes -

Frequently Asked Questions

NPI 1235753344 is the National Provider Identifier for JAKE HENDRICKSON, a Dental Assistant provider located in Fort Carson, CO. This NPI was enumerated on June 4, 2020.
JAKE HENDRICKSON practices at 1667 COCHRANE CIR BLDG 7495, Fort Carson, CO 80913.

Quick Facts

NPI
1235753344
Type
Individual
Enumerated
Jun 4, 2020
Last Updated
Jun 4, 2020

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