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1104948124
KIRK HICKS YOUNG
ORANGE PARK, FL
NPI
1104948124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: FL DN 9025)
Enumeration Date
2007-04-03
Last Update Date
2007-07-08
Business Address
DR. KIRK HICKS YOUNG M.S., D.D.S.
1850 BELLAIR BLVD
ORANGE PARK, FL 32073-4516
Phone number: 904-269-6011
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Mailing Address
DR. KIRK HICKS YOUNG M.S., D.D.S.
1850 BELLAIR BLVD
ORANGE PARK, FL 32073-4516
Phone number: 904-269-6011
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