NPI | 1093596348 |
---|---|
Doing Business As | HICKS DENTAL GROUP, LTD. |
Entity Type | Organization |
Authorized Contact | DARCY S HICKS Office Manager 928-445-6030 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |