| NPI | 1891529160 |
|---|---|
| Doing Business As | LANCE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BRADLEY D LANCE President 636-937-9445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |