| NPI | 1336858174 |
|---|---|
| Former Legal Business Name | HICKS DENTAL |
| Doing Business As | HICKS & DRAPER DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN B DRAPER Doctor 386-325-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |