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1396769402
STEVEN LESTER VAN WICKLEN
AUSTIN, TX
NPI
1396769402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 14585)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
-- STEVEN LESTER VAN WICKLEN D.D.S.
3901 S. LAMAR BLVD STE 480
AUSTIN, TX 78704-8801
Phone number: 512-448-3131
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Mailing Address
-- STEVEN LESTER VAN WICKLEN D.D.S.
3901 S. LAMAR BLVD STE 480
AUSTIN, TX 78704
Phone number: 512-448-3131
Copy
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