Individual
DR. RUDOLPH HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 ROSEWOOD LN, OWINGS MILLS, MD 21117-3709
(410) 951-5083
(410) 951-5082
Mailing address
200 ROSEWOOD LN, OWINGS MILLS, MD 21117-3709
(410) 951-5083
(410) 951-5082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
05880
MD
1223D0001X
Public Health Dentistry
Primary
05880
MD
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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