Individual
DR. THOMAS RALPH HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5325 FAIRWAY 6 DR, FORT COLLINS, CO 80525-9102
(970) 232-9639
Mailing address
5325 FAIRWAY 6 DR, FT COLLINS, CO 80525
(970) 232-9639
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7751
CO
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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