Individual
DR. PHILLIP OLIVER LANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BLDG 2441 21ST STREET, U S ARMY DENTAC, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Mailing address
BLDG 2441 21ST STREET, U S ARMY DENTAC, FORT CAMPBELL, KY 42223-5369
(270) 798-8614
(270) 798-8633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.023052
OH
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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