Organization
ENLOW & VANCE DENTAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK A VANCE D.D.S. (OWNER)
(813) 908-2444
Entity
Organization
Contact information
Practice address
16654 N DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 908-2444
(813) 908-2420
Mailing address
16654 N DALE MABRY HWY, TAMPA, FL 33618-1400
(813) 908-2444
(813) 908-2420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN10483
FL
1223G0001X
General Practice Dentistry
Primary
DN11721
FL
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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