D Sim Siceloff DDS PA

NPI #1902983067 in Lexington, North Carolina

Provider Information

NPI Number
1902983067
Entity Type
Organization
Organization Name
D Sim Siceloff DDS PA
Primary Specialty
Dentist
Enumeration Date
Nov 1, 2006
Last Updated
Apr 8, 2008

Practice Location

Address
19 EAST SECOND AVENUE
ZIP Code
27292
Phone
(336) 249-6524

Authorized Official

Name
DAVID SIMEON SICELOFF III, DDS
Title
PRESIDENT
Phone
(336) 249-6524

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