DR. Bruce F Hicke, DDS

NPI #1982736815 in Montclair, California

Provider Information

NPI Number: 1982736815
Entity Type: Individual
Name: DR. Bruce F Hicke, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Credential: DDS
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 5182 MONTCLAIR PLAZA LN
City: Montclair
State: California
ZIP Code: 91763
Phone: (909) 626-3566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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