Individual
CRAIG HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 E MOCKINGBIRD LN, SUITE 219, DALLAS, TX 75206-8904
(214) 361-2227
Mailing address
650 INTERNATIONAL PKWY, SUITE 100, RICHARDSON, TX 75081-6612
(214) 361-2227
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16426
TX
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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