| NPI | 1144543919 |
|---|---|
| Doing Business As | HICKS FAMILY DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUMRANA S AHMED Member 847-359-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026293) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |