DR. Andrew Vansicklen, DDS

NPI #1538457775 in San Luis Obispo, California

Provider Information

NPI Number
1538457775
Entity Type
Individual
Name
DR. Andrew Vansicklen, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Jul 20, 2011
Last Updated
Mar 17, 2016

Practice Location

Address
1042 PACIFIC ST
Address 2
STE B
ZIP Code
93401
Phone
(805) 543-6963

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - General PracticeGeneral Practice

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