# BRADLEY D LANCE, DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lance Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891529160
- **Authorized official:** BRADLEY D LANCE DDS (PRESIDENT)
- **Authorized official phone:** (636) 937-9445

## Contact information

- **Practice address:** 1315 VETERANS BLVD, FESTUS, MO 63028-2329
- **Practice address phone:** (314) 605-3402
- **Mailing address:** 1315 VETERANS BLVD, FESTUS, MO 63028-2329
- **Mailing address phone:** (314) 605-3402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/29/2024
- **Last updated:** 08/29/2024