Individual
DR. DANIEL SIMEON SICELOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6595 OLD US HIGHWAY 52, LEXINGTON, NC 27295-6102
(336) 731-3811
Mailing address
PO BOX 1568, WELCOME, NC 27374-1568
(336) 250-0409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9036
NC
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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