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Kenneth Vansickle, D.M.D
NPI 1033196118 · on the registry since 2005
Practice
- Address
- 2008 Saint Michaels Dr
Suite B
Santa Fe, NM 87505 - Phone
- (505) 474-4993
- Fax
- (505) 474-4973
- Organisation at this address
- Philip Treu Od Pc
Santa Fe Children'S Dentistry
Small Smiles Dentistry For Children, Santa Fe, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico