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Organization
ANDREW VAN SICKLEN DDS INC.
Active
Organization
ANDREW VAN SICKLEN DDS INC.
Active
Other names
Surfin Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW VAN SICKLEN DDS (OWNER)
(805) 423-4481
Entity
Organization
Contact information
Practice address
1105 E FOSTER RD STE A, SANTA MARIA, CA 93455-6400
(805) 332-3076
Mailing address
3667 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-5959
(805) 423-4481
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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