Individual
DR. VANCE B. FONNESBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
590 E 100 N, SUITE #3, PRICE, UT 84501-2640
(435) 637-5850
(435) 637-5151
Mailing address
590 E 100 N, SUITE #3, PRICE, UT 84501-2640
(435) 637-5850
(435) 637-5151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
142950-9922
UT
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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