Individual
CHAD HICKS-BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10929 SOUTH ST, SUITE 106-B, CERRITOS, CA 90703-5340
(562) 860-6587
Mailing address
5181 HEIL AVE, HUNTINGTON BEACH, CA 92649-3610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54261
CA
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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