Individual
VANCE HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
46 W AVON RD, AVON, CT 06001-4020
(860) 421-0144
Mailing address
40 PLAINFIELD STREET, HARTFORD, CT 06112-2129
(860) 724-7466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12336
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
06/26/2023
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