TRAVIS ALAN HICKOK

SLC, UT
NPI1376797944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  7028948)
Enumeration Date2008-11-10
Last Update Date2008-11-10
Business Address
Dr. TRAVIS ALAN HICKOK DDS
50 N MEDICAL DR
SLC, UT 84132-0001
Phone number: 801-581-2220
Mailing Address
Dr. TRAVIS ALAN HICKOK DDS
4889 WOODHAVEN DR
TAYLORSVILLE, UT 84123-4378
Phone number: 801-541-2482