Leah M Hickson, Dds, PC

NPI #1538435706 in Eugene, Oregon

Provider Information

NPI Number: 1538435706
Entity Type: Organization
Organization Name: Leah M Hickson, Dds, PC
Primary Specialty: Dentist
Enumeration Date: Apr 1, 2012
Last Updated: Apr 1, 2012

Practice Location

Address: 2233 WILLAMETTE ST
Address 2: SUITE A
City: Eugene
State: Oregon
ZIP Code: 97405-2890
Phone: (541) 686-9545

Authorized Official

Name: DR. LEAH M HICKSON, DDS
Title: PRESIDENT/OWNER
Phone: (541) 686-9545

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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