Organization
LEAH M HICKSON, DDS, PC
Active
Other names
Serenity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH M HICKSON DDS (PRESIDENT/OWNER)
(541) 686-9545
Entity
Organization
Contact information
Practice address
2233 WILLAMETTE ST, SUITE A, EUGENE, OR 97405-2890
(541) 686-9545
(541) 431-4601
Mailing address
2233 WILLAMETTE ST, SUITE A, EUGENE, OR 97405-2890
(541) 686-9545
(541) 431-4601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8922
OR
Other
Enumeration date
04/01/2012
Last updated
04/01/2012
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