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Organization

GC DENTAL ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS HICKEY DMD (OWNER)
(772) 359-8962
Entity
Organization

Contact information

Practice address
1620 N US HIGHWAY 1, SUITE 2, TEQUESTA, FL 33469-3228
(561) 746-3290
Mailing address
1010 SE KITCHING COVE LANE, PORT SAINT LUCIE, FL 34952
(772) 359-8962

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN11997
FL

Other

Enumeration date
04/08/2015
Last updated
04/08/2015
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