LEAH M HICKSON, DDS, PC
Dentist at Willamette St, Eugene, OR

License number
Oregon D8922
Category
Dentist
Type
Dentist
Owner
Name: DR. LEAH M HICKSON DDS
Title: PRESIDENT/OWNER
Phone: (541) 686-9545
Address
Address
2233 Willamette St SUITE A, Eugene, OR 97405
National Provider ID: 1538435706
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LEAH M. HICKSON, D.D.S., PC

330 S Gdn Way SUITE 190, Eugene, OR 97401

Registration:
Apr 18, 2007
State ID:
42937599
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Agent:
Travis Lsydow,4710 Vlg Plz Loop STE 165, Eugene, OR 97401 (Physical)

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