Individual
ROSS THOMAS VANDERCREEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
USA DENTAL HEALTH ACTIVITY, 652 HAMILTON RD, FT SILL, OK 73503
(240) 938-1951
Mailing address
USA DENTAL HEALTH ACTIVITY, 652 HAMILTON RD, FT SILL, OK 73503
(240) 938-1951
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14259
MN
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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