Individual
DR. PHILIP WAYNE VANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS035833
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30284
TX
Other
Enumeration date
04/20/2006
Last updated
12/10/2021
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