Individual
DR. VANCE GARY OKAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
175 N PENNSYLVANIA AVE #6, GLENDORA, CA 91741
(626) 963-4173
(626) 963-6573
Mailing address
175 N PENNSYLVANIA AVE #6, GLENDORA, CA 91741
(626) 963-4173
(626) 963-6573
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23859
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1681042
UNITED CONCORDIA
—
01
—
64479
INVISALIGN
CA
Enumeration date
04/16/2007
Last updated
03/13/2012
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