Individual
AMALIE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2411 WILLIAMS DR STE 111, GEORGETOWN, TX 78628-3268
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 994-1933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34290
TX
1223G0001X
General Practice Dentistry
Primary
34290
TX
Other
Enumeration date
08/14/2019
Last updated
03/04/2024
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