DR. Dallas Hale Hickle, DDS

NPI #1033256227 in Novato, California

Provider Information

NPI Number
1033256227
Entity Type
Individual
Name
DR. Dallas Hale Hickle, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DDS
Enumeration Date
Jan 30, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1615 HILL RD
Address 2
STE. 12
City
Novato
ZIP Code
94947-4340
Phone
(415) 892-1564

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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