THOMAS RANDAL HICKS

PORTLAND, OR
NPI1922168335
Professional NameTHOMAS RANDAL HICKS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D7362)
Enumeration Date2006-12-08
Last Update Date2023-02-04
Business Address
THOMAS RANDAL HICKS DMD
13305 NW CORNELL RD STE A
PORTLAND, OR 97229-5987
Phone number: 503-644-5433
Mailing Address
THOMAS RANDAL HICKS DMD
13305 NW CORNELL RD STE A
PORTLAND, OR 97229-5987
Phone number: 503-644-5433
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