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1346373347
JODY BRIAN VANCE
SPRINGFIELD, MO
NPI
1346373347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: MO 015623)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Dr. JODY BRIAN VANCE D.D.S, M.S.
3331 E MONTCLAIR ST STE G
SPRINGFIELD, MO 65804-4786
Phone number: 417-889-5297
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Mailing Address
Dr. JODY BRIAN VANCE D.D.S, M.S.
3331 E MONTCLAIR ST STE G
SPRINGFIELD, MO 65804-4786
Phone number: 417-889-5297
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