Individual
DR. JODY BRIAN VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S.
Contact information
Practice address
3331 E MONTCLAIR ST STE G, SPRINGFIELD, MO 65804-4786
(417) 889-5297
(417) 889-6462
Mailing address
3331 E MONTCLAIR ST STE G, SPRINGFIELD, MO 65804-4786
(417) 889-5297
(417) 889-6462
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
015623
MO
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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