Individual
VANCE KNAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6900 ALDEN DR, FE WARREN AFB, WY 82005-2945
(307) 773-1846
Mailing address
927 RIDGE RUNNER DR, FORT COLLINS, CO 80524-1247
(217) 494-2042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.030210
IL
Other
Enumeration date
08/03/2015
Last updated
01/03/2022
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