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Individual

DR. BENJAMIN DAVID HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004
(310) 295-0077
Mailing address
8901 WISCONSIN AVE, BETHESDA, MD 20889-0004

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10466
KY
390200000X
Student in an Organized Health Care Education/Training Program
10466
KY

Other

Enumeration date
07/29/2020
Last updated
07/10/2025
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