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Individual
DR. JAMES DAVIS VANCE
Active
Individual
DR. JAMES DAVIS VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14708
DELTA DENTAL
TX
01
—
792148
UNITED CONCORDIA
TX
01
—
D14708
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
09/03/2006
Last updated
07/08/2007
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