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Organization

STICKA DENTAL CLINIC, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL J STICKA D.M.D. (OWNER/DENTIST)
(701) 483-3462
Entity
Organization

Contact information

Practice address
239 14TH ST W, DICKINSON, ND 58601-3118
(701) 483-3462
Mailing address
239 14TH ST W, DICKINSON, ND 58601-3118
(701) 483-3462

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2135
ND

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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