DR. Tyler James Hicks, DMD

NPI #1114301603 in Sandy, Utah

Provider Information

NPI Number: 1114301603
Entity Type: Individual
Name: DR. Tyler James Hicks, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 14, 2015
Last Updated: Jul 14, 2015

Practice Location

Address: 9008 S SCHOFIELD CIR
City: Sandy
State: Utah
ZIP Code: 84093-5801
Phone: (801) 386-6377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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