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Individual

DR. MITCHELL ARNOLD VANCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9011 CHEVROLET DR, SUITE 9, ELLICOTT CITY, MD 21042-4024
(410) 750-7051
(410) 750-7394
Mailing address
10787 FOLKESTONE WAY, WOODSTOCK, MD 21163-1313
(410) 480-1862

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10867
MD

Other

Enumeration date
08/21/2006
Last updated
07/09/2007
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