Individual
DR. CHARLES MELVILLE STANLEY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
800 ZEAGLER DR, SUITE 330, PALATKA, FL 32177-3883
(386) 325-6000
(386) 325-9306
Mailing address
800 ZEAGLER DR, SUITE 330, PALATKA, FL 32177-3883
(386) 325-6000
(386) 325-9306
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013368
FL
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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