Braden Paul Hicks, DDS

NPI #1326693912 in Prescott, Arizona

Provider Information

NPI Number: 1326693912
Entity Type: Individual
Name: Braden Paul Hicks, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 9, 2019
Last Updated: Aug 9, 2019

Practice Location

Address: 108 WHIPPLE ST
City: Prescott
State: Arizona
ZIP Code: 86301-1706
Phone: (928) 445-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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