DR. Peter Dale Vansickels, D.D.S

NPI #1295848596 in Exmore, Virginia

Provider Information

NPI Number
1295848596
Entity Type
Individual
Name
DR. Peter Dale Vansickels, D.D.S
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S
Enumeration Date
Aug 17, 2006
Last Updated
Sep 21, 2009

Practice Location

Address
4208 SEASIDE RD
City
Exmore
ZIP Code
23350-2575
Phone
(757) 442-5005

Specialties & Taxonomy Codes

Specialty
Dentist

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