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1205406915
VAN SICKLEN DDS INC
STOCKTON, CA
NPI
1205406915
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Entity Type
Organization
Authorized Contact
CHARLES NEAL VAN SICKLEN
CEO
209-607-6956
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2021-06-26
Last Update Date
2021-07-14
Business Address
VAN SICKLEN DDS INC
1372 W ROBINHOOD DR STE A
STOCKTON, CA 95207-5513
Phone number: 209-607-6956
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Mailing Address
VAN SICKLEN DDS INC
9591 RUFF AVE
STOCKTON, CA 95212-2417
Phone number: 209-607-6956
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