LANCE FRANCIS GRENEVICKI

WEST MELBOURNE, FL
NPI1255306866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: FL  ME77063)
Additional Taxonomies208600000X Surgery
(Licence: FL  ME77063)
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL  DN15027)
Enumeration Date2006-02-18
Last Update Date2014-01-21
Business Address
Dr. LANCE FRANCIS GRENEVICKI MD, DDS, FACS
1093 S WICKHAM RD THE INSTITUTE OF FACIAL SURGERY
WEST MELBOURNE, FL 32904-1652
Phone number: 321-674-3900
Mailing Address
Dr. LANCE FRANCIS GRENEVICKI MD, DDS, FACS
1093 S WICKHAM RD THE INSTITUTE OF FACIAL SURGERY
WEST MELBOURNE, FL 32904-1652
Phone number: 321-674-3900