Riley J. Hicks D.d.s., P.a.
NPI #1164615084 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1164615084
- Entity Type
- Organization
- Organization Name
- Riley J. Hicks D.d.s., P.a.
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Aug 23, 2007
- Last Updated
- Aug 23, 2007
Practice Location
- Address
- 3905 WASHINGTON PKWY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7596
- Phone
- (208) 528-6000
Authorized Official
- Name
- DR. RILEY JARED HICKS, D.D.S.
- Title
- OWNER
- Phone
- (208) 528-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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