Individual
DR. RONALD D VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
306 GLENWOOD AVE, GRAND JCT, CO 81501-7579
(970) 242-6623
(970) 242-6627
Mailing address
306 GLENWOOD AVE, GRAND JCT, CO 81501-7579
(970) 242-6623
(970) 242-6627
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3450
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02034502
—
CO
Enumeration date
02/14/2007
Last updated
07/08/2007
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