Individual
DR. RICHARD ISAAC VANCE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4881 SUGAR MAPLE DR, 88TH DENTAL SQUADRON, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-1336
Mailing address
9692 CLYO RD, CENTERVILLE, OH 45458-9107
(937) 257-1336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-026160-L
PA
Other
Enumeration date
10/31/2005
Last updated
07/08/2007
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