Individual
DR. TERRY ALLEN HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6919 LAKEWOOD DR W, D-4, TACOMA, WA 98467-3220
(253) 475-8990
(253) 475-5514
Mailing address
6919 LAKEWOOD DR W, D-4, TACOMA, WA 98467-3220
(253) 475-8990
(253) 475-5514
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5796
WA
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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