Individual
DR. LANCE AARON VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
261 SUMMIT AVE, HACKENSACK, NJ 07601-1431
(201) 487-4008
Mailing address
261 SUMMIT AVE, HACKENSACK, NJ 07601-1431
(201) 487-4008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02659600
NJ
Other
Enumeration date
05/20/2016
Last updated
06/07/2019
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