Individual
GREGORY SHAWN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3285 BLAZER PKWY, SUITE 210, LEXINGTON, KY 40509-2119
(859) 264-1854
(859) 264-1855
Mailing address
3285 BLAZER PKWY, SUITE 210, LEXINGTON, KY 40509-2119
(859) 264-1854
(859) 264-1855
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7630
KY
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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