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1982718094
JACK E VANDE VISSE
PITTSBURGH, PA
NPI
1982718094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223E0200X Dentist Endodontics
(Licence: PA DS018824L)
Enumeration Date
2006-08-18
Last Update Date
2007-07-08
Business Address
DR. JACK E VANDE VISSE DMD
110 FORT COUCH RD
PITTSBURGH, PA 15241-1030
Phone number: 412-833-8400
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Mailing Address
DR. JACK E VANDE VISSE DMD
110 FORT COUCH RD
PITTSBURGH, PA 15241-1030
Phone number: 412-833-8400
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