Individual
DR. ALEXANDER VANOVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3209 VIRGINIA AVE, FORT PIERCE, FL 34981-5541
(772) 462-7524
Mailing address
3209 VIRGINIA AVE, FORT PIERCE, FL 34981-5541
(772) 462-7524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 11749
FL
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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