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Individual
MARK ALLEN VANZANT
Active
Individual
MARK ALLEN VANZANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11504
MT
122300000X
Dentist
9527884-9922
UT
1223G0001X
General Practice Dentistry
DEN-DEN-LIC-11504
MT
1223G0001X
General Practice Dentistry
DN 16868
FL
Other
Enumeration date
09/12/2005
Last updated
08/24/2021
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