Organization · Type 2 NPI
Andrew Van Sicklen DDS Inc.
Dental Clinic/Center · Santa Maria, CA
NPI number
1306470711
Active
Practice location
1105 E Foster Rd Ste A
Santa Maria, CA 93455-6400
Mailing address
3667 Johnson Ave
San Luis Obispo, CA 93401-5959
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 1306470711
Andrew Van Sicklen DDS Inc.'s National Provider Identifier is 1306470711, issued on Feb 25, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Santa Maria, CA. The record was last updated on Feb 25, 2020.