| Andrew Van Sicklen Dds Inc. | |
|
1105 E Foster Rd Ste A Santa Maria CA 93455-6400 | |
| (805) 332-3076 | |
| Not Available |
| Full Name | Andrew Van Sicklen Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1105 E Foster Rd Ste A, Santa Maria, California |
| Authorized Official Name and Position | Andrew Van Sicklen (OWNER) |
| Authorized Official Contact | 8054234481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Van Sicklen Dds Inc. 3667 Johnson Ave San Luis Obispo CA 93401-5959 Ph: (805) 423-4481 | Andrew Van Sicklen Dds Inc. 1105 E Foster Rd Ste A Santa Maria CA 93455-6400 Ph: (805) 332-3076 |
| NPI Number | 1306470711 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 02/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306470711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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