Individual
DR. KELLY ANN HICKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
975 KIRMAN AVE, DENTAL CLINIC, RENO, NV 89502
(562) 869-3037
Mailing address
975 KIRMAN AVE, DENTAL CLINIC, RENO, NV 89502
(775) 326-2995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
59777
CA
Other
Enumeration date
07/20/2010
Last updated
01/16/2018
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