Individual
DR. VINCENT JOSEPH SLOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2005 KNIGHT LANE, ATTN: MEDICAL STAFF SERVICES BLDG H, JACKSONVILLE, FL 32212
(619) 723-9162
Mailing address
11570 SUMPTER RD, SOUTH LYON, MI 48178-8812
(248) 231-5654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901020267
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
60829600
WA
Other
Enumeration date
08/09/2010
Last updated
05/15/2018
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