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Individual
DR. LANCE FRANCIS GRENEVICKI
Active
Individual
DR. LANCE FRANCIS GRENEVICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS, FACS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN15027
FL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME77063
FL
208600000X
Surgery Physician
ME77063
FL
Other
Enumeration date
02/18/2006
Last updated
01/21/2014
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