DR. Matthew Robert Hicks, DMD

NPI #1982601142 in Portland, Oregon

Provider Information

NPI Number
1982601142
Entity Type
Individual
Name
DR. Matthew Robert Hicks, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jul 2, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
6200 SE MILWAUKIE AVE
State
Oregon
ZIP Code
97202-5417
Phone
(503) 235-7000

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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