Individual
DR. DAVID L VANCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
101 RUSSELL ST, STATEN ISLAND, NY 10308-3140
(718) 356-5827
Mailing address
101 RUSSELL ST, STATEN ISLAND, NY 10308-3140
(718) 356-5827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039212
NY
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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