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Organization
CITY OF NEWPORT NEWS
Active
Organization
CITY OF NEWPORT NEWS
Active
Other names
City of Newport News Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER D VANSICKELS DDS (DENTIST)
(757) 933-2369
Entity
Organization
Contact information
Practice address
416 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1927
(757) 933-2369
Mailing address
416 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1927
(757) 933-2369
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
12/22/2014
Last updated
01/07/2015
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