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Organization
DAVID HICKEY DENTAL LLC
Active
Organization
DAVID HICKEY DENTAL LLC
Active
Other names
Mad River Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN SNIDER (OFFICE MANAGER)
(937) 864-2341
Entity
Organization
Contact information
Practice address
7544 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1902
(937) 864-2341
(937) 864-1997
Mailing address
PO BOX 338, ENON, OH 45323-0338
(937) 864-2341
(937) 864-1997
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/01/2018
Last updated
03/21/2020
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