DR. Travis Alan Hickok, DDS

NPI #1376797944 in Slc, Utah

Provider Information

NPI Number: 1376797944
Entity Type: Individual
Name: DR. Travis Alan Hickok, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 10, 2008
Last Updated: Nov 10, 2008

Practice Location

Address: 50 N MEDICAL DR
City: Slc
State: Utah
ZIP Code: 84132-0001
Phone: (801) 581-2220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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