JORDAN KING ALEXIS HICKS

PORTLAND, ME
NPI1932629953
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: ME  DEN4543)
Enumeration Date2017-06-21
Last Update Date2018-03-17
Business Address
Dr. JORDAN KING ALEXIS HICKS DDS
612 BRIGHTON AVE
PORTLAND, ME 04102-2359
Phone number: 207-772-4359
Mailing Address
Dr. JORDAN KING ALEXIS HICKS DDS
612 BRIGHTON AVE
PORTLAND, ME 04102-2359
Phone number:
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