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1740312982
DAVID MARK HICKLIN
COLUMBIA, SC
NPI
1740312982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 4261)
Enumeration Date
2007-03-12
Last Update Date
2018-10-12
Business Address
DAVID MARK HICKLIN DMD
10 RICHLAND MEDICAL PARK DR STE A
COLUMBIA, SC 29203-6892
Phone number: 803-434-6565
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Mailing Address
DAVID MARK HICKLIN DMD
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-434-6565
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