Individual
DR. KENT D. VANDERSLICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
110 EVANS MILL DR, SUIE 304, DALLAS, GA 30157-1622
(770) 505-5655
(770) 505-5654
Mailing address
110 EVANS MILL DR, SUITE 304, DALLAS, GA 30157-1622
(770) 505-5655
(770) 505-5654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006287
GA
Other
Enumeration date
04/02/2007
Last updated
11/20/2008
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