Organization · Type 2 NPI
Van Sicklen DDS Inc
Dental Clinic/Center · Stockton, CA
NPI number
1205406915
Active
Practice location
1372 W Robinhood Dr Ste A
Stockton, CA 95207-5513
Mailing address
9591 Ruff Ave
Stockton, CA 95212-2417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1205406915
Van Sicklen DDS Inc's National Provider Identifier is 1205406915, issued on Jun 26, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Stockton, CA. The record was last updated on Jul 14, 2021.