Organization
BRADLEY D LANCE, DDS PC
Active
Other names
Lance Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY D LANCE DDS (PRESIDENT)
(636) 937-9445
Entity
Organization
Contact information
Practice address
1315 VETERANS BLVD, FESTUS, MO 63028-2329
(314) 605-3402
Mailing address
1315 VETERANS BLVD, FESTUS, MO 63028-2329
(314) 605-3402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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