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Organization
KIM M HICKEY DDS
Active
Organization
KIM M HICKEY DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM M HICKEY DDS (OWNER)
(903) 465-9555
Entity
Organization
Contact information
Practice address
1113 MEMORIAL DRIVE, DENISON, TX 75020
(903) 465-9555
(903) 465-9243
Mailing address
1113 MEMORIAL DRIVE, DENISON, TX 75020
(903) 465-9555
(903) 465-9243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12451
TX
1223G0001X
General Practice Dentistry
16058
TX
1223G0001X
General Practice Dentistry
9256
TX
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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