Clark Banks Hicken, D.D.S.

NPI #1407925308 in Orem, Utah

Provider Information

NPI Number: 1407925308
Entity Type: Individual
Name: Clark Banks Hicken, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 575 UNIVERSITY PKWY
Address 2: SUITE A-24
City: Orem
State: Utah
ZIP Code: 84097-7400
Phone: (801) 225-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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