Individual
DR. DAVID TODD VANZANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2125 ROMBACH AVE, WILMINGTON, OH 45177-0272
(937) 382-2627
(937) 382-0647
Mailing address
PO BOX 272, 2125 ROMBACH AVENUE, WILMINGTON, OH 45177-0272
(937) 382-2627
(937) 382-0647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0864113
—
OH
Enumeration date
01/24/2007
Last updated
07/08/2007
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