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
—
—
Other
Enumeration date
12/22/2014
Last updated
01/07/2015
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