Individual
DR. PHILIP WAYNE VANCE JR.
Active
Individual
DR. PHILIP WAYNE VANCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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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