Organization
PHILIP A. VICINI DDS.
Active
Other names
Sissonville Dental Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP A. VICINI DDS (OWNER/DENTIST)
(304) 984-0052
Entity
Organization
Contact information
Practice address
1086 MARTINS BRANCH ROAD, CHARLESTON, WV 25312
(304) 984-0052
(304) 984-3140
Mailing address
P.O. BOX 13485, CHARLESTON, WV 25360-0485
(304) 984-0052
(304) 984-3140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2207
WV
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/27/2006
Last updated
03/14/2022
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