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Organization
JUSTIN A. HICKS, D.M.D., PC
Active
Organization
JUSTIN A. HICKS, D.M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN AARON HICKS D.M.D. (PRESIDENT)
(406) 216-5273
Entity
Organization
Contact information
Practice address
1301 12TH AVE S, LOWER LEVEL, GREAT FALLS, MT 59405-4600
(406) 216-5273
(406) 216-5274
Mailing address
1301 12TH AVE S, P.O. BOX 6408, GREAT FALLS, MT 59405-4600
(406) 216-5273
(406) 216-5274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2293
MT
Other
Enumeration date
10/05/2009
Last updated
10/19/2009
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