Search › California › 1223G0001X
Andrew Vansicklen, DDS
NPI 1538457775 · on the registry since 2011
Practice
- Address
- 1042 Pacific St
Ste B
San Luis Obispo, CA 93401 - Phone
- (805) 543-6963
- Fax
- (805) 543-8656
- Organisation at this address
- C F Wong Beta Dental Incorporated
Lee F. Hollister,Dds Jon E. Hollisterdds Dental CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-17
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 California