Individual
DR. MARK ALLEN VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
398 192ND ARMORED TANK BN RD, BLDG 1022 RM 231, US ARMY DENTAL ACTIVITY, FORT KNOX, KY 40121-5116
(502) 626-8301
(502) 624-2966
Mailing address
398 192ND ARMORED TANK BN RD, BLDG 1022 RM 231, US ARMY DENTAL ACTIVITY, FORT KNOX, KY 40121-5116
(502) 624-6158
(502) 624-2966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7698
KY
Other
Enumeration date
12/28/2005
Last updated
09/02/2014
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