Organization · Type 2 NPI

Hickory ST LLC

General Practice Dentistry · Albany, OR

NPI number 1245860345 Active

About NPI 1245860345

Hickory ST LLC's National Provider Identifier is 1245860345, issued on Jan 17, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Albany, OR. The record was last updated on Jan 17, 2020.