Mrs. Cecilia Jo Hickam, RDH-EA, OMT
Mrs. Cecilia Jo Hickam, RDH-EA, OMT is a Dental Hygienist in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
1121 E State St Ste - 102-DEagle, ID 83616
Phone: (208) 584-9060
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Hygienist (primary) | Taxonomy 124Q00000X · Licence DH-0356-EA (ID) |
|---|
Record details
| NPI number | 1376940668 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RDH-EA , OMT |
| Sole proprietor | No |
| NPI enumerated | December 2, 2014 |
| Last updated in NPPES | December 2, 2014 |