Itd Associates, P.a.
NPI #1073832176 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1073832176
- Entity Type
- Organization
- Organization Name
- Itd Associates, P.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 28, 2010
- Last Updated
- Apr 19, 2018
Practice Location
- Address
- 4832 N. KINGS HIGHWAY
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34951
- Phone
- (772) 468-6226
Authorized Official
- Name
- MR. THOMAS MICHAEL HICKEY, DMD
- Title
- PRESIDENT
- Phone
- (772) 359-8962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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