Individual
DR. BRUCE F HICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5182 MONTCLAIR PLAZA LN, MONTCLAIR, CA 91763
(909) 626-3566
(909) 626-6112
Mailing address
241 W 23RD ST, UPLAND, CA 91784-1345
(909) 981-2288
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22076
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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