DR. Brian A Hicks, DDS
NPI #1629088919 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1629088919
- Entity Type
- Individual
- Name
- DR. Brian A Hicks, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 9, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 125 E LAKE COOK RD
- Address 2
- STE 205
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-4356
- Phone
- (847) 215-0003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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