Organization
ADVANCE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC CHRISTOPHER VANCE D.M.D. (OWNER)
(205) 757-7509
Entity
Organization
Contact information
Practice address
242 WEST VALLEY AVENUE SUITE 101, BIRMINGHAM, AL 35209-3635
(205) 290-7878
(205) 290-7880
Mailing address
242 WEST VALLEY AVENUE SUITE 101, BIRMINGHAM, AL 35209-3635
(205) 290-7878
(205) 290-7880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5830-C1
AL
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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