Mark Thomas Hickmott, D.D.S.
NPI #1518027580 in San Ramon, California
Provider Information
- NPI Number
- 1518027580
- Entity Type
- Individual
- Name
- Mark Thomas Hickmott, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2410 SAN RAMON VALLEY BLVD
- Address 2
- SUITE 148
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-1671
- Phone
- (925) 855-1604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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