Individual
DR. TRAVIS MARTIN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5449
Mailing address
991 W HUDSON BLVD, GASTONIA, NC 28052-6430
(704) 853-5449
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
8578
NC
Other
Enumeration date
06/16/2008
Last updated
01/14/2014
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