Organization
VALLEY RIDGE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN CLANCE D.M.D. (PRESIDENT)
(352) 262-0968
Entity
Organization
Contact information
Practice address
4220 VALLEY RIDGE BLVD STE 4, PONTE VEDRA, FL 32081-5172
(352) 262-0968
Mailing address
2003 GREY FALCON CIR SW, VERO BEACH, FL 32962-8616
(352) 262-0968
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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