Individual
DR. JAY W VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5410 39TH ST, GROVES, TX 77619-2914
(409) 963-0008
(409) 963-0002
Mailing address
5410 39TH ST, GROVES, TX 77619-2914
(409) 963-0008
(409) 963-0002
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12698
TX
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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