Individual
MRS. KATHERINE VALENTINE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5200 E FARNESS DR., SUITE # 102, TUCSON, AZ 85712
(520) 323-3866
(520) 372-2754
Mailing address
5200 E FARNESS DR., SUITE # 102, TUCSON, AZ 85712
(520) 323-3866
(520) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6705
NE
122300000X
Dentist
Primary
8840
AZ
Other
Enumeration date
06/18/2007
Last updated
12/23/2020
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