Individual
DR. HEATHER JEANNE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4321 COLLEGE ST, WOODBURN, IN 46797-9005
(260) 632-5312
Mailing address
4321 COLLEGE ST, P.O. BOX 276, WOODBURN, IN 46797-9005
(260) 632-5312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009632
IN
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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