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Organization
TERRY L. VINCENT, DDS, INC.
Active
Organization
TERRY L. VINCENT, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY LEE VINCENT D.D.S. (PRESIDENT)
(831) 596-6395
Entity
Organization
Contact information
Practice address
136 HIDDEN VALLEY RD, ROYAL OAKS, CA 95076-9271
(831) 596-6395
Mailing address
136 HIDDEN VALLEY RD, ROYAL OAKS, CA 95076-9271
(831) 596-6395
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
22558
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22558
DENTAL LICENSE NUMBER
CA
Enumeration date
08/31/2010
Last updated
08/31/2010
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