Individual
DR. ZACHARY ICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1601 N CLINTON ST, SUITE A, DEFIANCE, OH 43512-8551
(419) 956-0926
Mailing address
3915 N TOWNSHIP ROAD 47, FOSTORIA, OH 44830-9542
(419) 619-7360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.025040
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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