Individual
DR. GARY N. HICKENLOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3755 BRIARGATE BLVD, SUITE 200, COLORADO SPRINGS, CO 80920-4195
(719) 632-2952
(719) 599-9400
Mailing address
3755 BRIARGATE BLVD, SUITE 200, COLORADO SPRINGS, CO 80920-4195
(719) 632-2952
(719) 599-9400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105305
CO
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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