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Individual

ANTHONY DAVID VANCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
616 6TH ST, BREMERTON, WA 98337-1420
(360) 377-3776
Mailing address
3419 WALLINGFORD AVE N APT 12, SEATTLE, WA 98103-9082
(253) 326-9404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE61292547
WA
1223G0001X
General Practice Dentistry
PENDING
WA

Other

Enumeration date
05/24/2022
Last updated
06/21/2022
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