| Bradley D Lance, Dds Pc | |
|
1315 Veterans Blvd Festus MO 63028-2329 | |
| (314) 605-3402 | |
| Not Available |
| Full Name | Bradley D Lance, Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1315 Veterans Blvd, Festus, Missouri |
| Authorized Official Name and Position | Bradley D Lance (PRESIDENT) |
| Authorized Official Contact | 6369379445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley D Lance, Dds Pc 1315 Veterans Blvd Festus MO 63028-2329 Ph: (314) 605-3402 | Bradley D Lance, Dds Pc 1315 Veterans Blvd Festus MO 63028-2329 Ph: (314) 605-3402 |
| NPI Number | 1891529160 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891529160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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