Richard Isaac Vance DMD

NPI 1023009065 - Dentist - 1223G0001X

NPI Details
NPI 1023009065
Gender Male
Enumeration Date 10/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4881 SUGAR MAPLE DR
88TH DENTAL SQUADRON
WRIGHT PATTERSON AFB OH, 45433-5546, US
Phone (937) 257-1336
Fax
Business Location
9692 CLYO RD
CENTERVILLE OH, 45458-9107, US
Phone (937) 257-1336
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Pennsylvania
License Number DS-026160-L
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According to our database, Dr. Richard Isaac Vance DMD NPI is 1023009065, taxonomy code is 1223G0001X and license number is DS-026160-L, license state is located at Pennsylvania. Richard Isaac Vance DMD physically located at 4881 Sugar Maple Dr, Wright Patterson Afb OH, 45433-5546. NPI Number Richard Isaac Vance DMD has the Individual type.

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1023009065 NPI number is provided on an as is basis without warranty of any kind. 1023009065 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Isaac Vance DMD are for informational purposes only.