Individual
DR. JOSEPH SHAUN HICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
6601 LYNDALE AVE S, SUITE 240, RICHFIELD, MN 55423-2477
(612) 869-8834
(612) 638-1287
Mailing address
6601 LYNDALE AVE S, SUITE 240, RICHFIELD, MN 55423-2477
(612) 869-8834
(612) 638-1287
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11311
MN
Other
Enumeration date
02/21/2006
Last updated
10/06/2011
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