DR. Cyril Joseph Vansistine, Jr., D.D.S.

NPI #1447373220 in De Pere, Wisconsin

Provider Information

NPI Number: 1447373220
Entity Type: Individual
Name: DR. Cyril Joseph Vansistine, Jr., D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1001 N BROADWAY
City: De Pere
State: Wisconsin
ZIP Code: 54115-2609
Phone: (920) 336-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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