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
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401
- Phone
- (805) 543-6963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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