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Organization
MICHAEL D. VANOVER, D.D.S., P.A.
Active
Organization
MICHAEL D. VANOVER, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D VANOVER D.D.S. (PRESIDENT)
(904) 272-2438
Entity
Organization
Contact information
Practice address
784 BLANDING BLVD, STE 110, ORANGE PARK, FL 32065-8717
(904) 272-2438
(904) 272-6376
Mailing address
784 BLANDING BLVD, STE 110, ORANGE PARK, FL 32065-8717
(904) 272-2438
(904) 272-6376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16088
FL
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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