Organization
TERRY A HICKEY DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY ALLEN HICKEY DDS, PS (OWNER)
(253) 475-8990
Entity
Organization
Contact information
Practice address
6919 LAKEWOOD DR W STE D4, TACOMA, WA 98467-3220
(253) 475-8990
(253) 475-5514
Mailing address
6919 LAKEWOOD DR W STE D4, TACOMA, WA 98467-3220
(253) 475-8990
(253) 475-5514
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5796
WA
Other
Enumeration date
03/21/2007
Last updated
12/04/2012
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