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Organization
J DAVID VANCE DDS PA KRISTIN L GOODWIN DDS PA LLP
Active
Organization
J DAVID VANCE DDS PA KRISTIN L GOODWIN DDS PA LLP
Active
Other names
Vance and Goodwin DDS
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1897 PECOS ST, SAN ANGELO, TX 76901-3231
(325) 655-9133
Mailing address
1897 PECOS ST, SAN ANGELO, TX 76901-3231
(325) 655-9133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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