Individual
JAMES VANCE PARK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
Mailing address
332 WESTSIDE DR, IOWA CITY, IA 52246-4352
(563) 650-9095
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
STUDENT
TX
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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