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1376797944
TRAVIS ALAN HICKOK
SLC, UT
NPI
1376797944
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: UT 7028948)
Enumeration Date
2008-11-10
Last Update Date
2008-11-10
Business Address
Dr. TRAVIS ALAN HICKOK DDS
50 N MEDICAL DR
SLC, UT 84132-0001
Phone number: 801-581-2220
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Mailing Address
Dr. TRAVIS ALAN HICKOK DDS
4889 WOODHAVEN DR
TAYLORSVILLE, UT 84123-4378
Phone number: 801-541-2482
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