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Individual

RICHARD J HIKADE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
14210 SE SUNNYSIDE RD, #200, CLACKAMAS, OR 97015-5240
(503) 558-9828
(503) 558-9829
Mailing address
14210 SE SUNNYSIDE RD, #200, CLACKAMAS, OR 97015-5240
(503) 558-9828
(503) 558-9829

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5432
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
131107
OR
Enumeration date
10/20/2005
Last updated
07/09/2007
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