| NPI | 1447336870 |
|---|---|
| Doing Business As | SISSONVILLE DENTAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILIP A. VICINI Owner/Dentist 304-984-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 2207) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2022-03-14 |