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1114301603
TYLER JAMES HICKS
SANDY, UT
NPI
1114301603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: UT 9428569-9922)
Enumeration Date
2015-07-14
Last Update Date
2015-07-14
Business Address
Dr. TYLER JAMES HICKS DMD
9008 S SCHOFIELD CIR
SANDY, UT 84093-5801
Phone number: 801-386-6377
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Mailing Address
Dr. TYLER JAMES HICKS DMD
9008 S SCHOFIELD CIR
SANDY, UT 84093-5801
Phone number: 801-386-6377
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