Van Sicklen DDS INC
NPI #1205406915 in Stockton, California
Provider Information
- NPI Number
- 1205406915
- Entity Type
- Organization
- Organization Name
- Van Sicklen DDS INC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 26, 2021
- Last Updated
- Jul 14, 2021
Practice Location
- Address
- 1372 W ROBINHOOD DR STE A
- City
- Stockton
- State
- California
- ZIP Code
- 95207-5513
- Phone
- (209) 607-6956
Authorized Official
- Name
- DR. CHARLES NEAL VAN SICKLEN, DDS
- Title
- CEO
- Phone
- (209) 607-6956
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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