Individual
JENNIFER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18325 N ALLIED WAY STE 115, PHOENIX, AZ 85054-3107
(480) 661-4867
Mailing address
5959 W UTOPIA RD APT 2052, GLENDALE, AZ 85308-7163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012134
AZ
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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