Dr Katherine Talitha Anne Vance, DDS | |
328 Commercial Rd Ste 104, San Bernardino, CA 92408-3766 | |
(909) 799-9988 | |
Not Available |
Full Name | Dr Katherine Talitha Anne Vance |
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Gender | Female |
Speciality | Dentist |
Location | 328 Commercial Rd Ste 104, San Bernardino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457966566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D14482 (Minnesota) | Secondary |
122300000X | Dentist | 108262 (California) | Primary |
Entity Name | Katherine Vance Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548953342 PECOS PAC ID: 9638525132 Enrollment ID: O20231019000650 |
Mailing Address | Practice Location Address |
---|---|
Dr Katherine Talitha Anne Vance, DDS 4886 Gardenia St, Oceanside, CA 92057-5431 Ph: (218) 689-6363 | Dr Katherine Talitha Anne Vance, DDS 328 Commercial Rd Ste 104, San Bernardino, CA 92408-3766 Ph: (909) 799-9988 |
Dr. Audrey Maxine Martin, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5905 Laura Ln, San Bernardino, CA 92407 Phone: 909-880-8457 Fax: 909-880-8457 | |
Han You Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 164 W Hospitality Ln Ste 127, San Bernardino, CA 92408 Phone: 909-453-6600 | |
Saman Ghaemmaghami, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4016 University Pkwy, San Bernardino, CA 92407 Phone: 909-880-1600 | |
Tao Li, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2210 E Highland Ave, Suite 108, San Bernardino, CA 92404 Phone: 909-864-8123 | |
Dr. Alejandra Corpus Galindo-magallanes, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 740 W 3rd St, San Bernardino, CA 92410 Phone: 909-888-3688 Fax: 909-884-6377 | |
Myung Shik Shin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 N G St Ste 3, San Bernardino, CA 92410 Phone: 909-383-7777 | |
Dr. Dat Minh Vo, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1470 E Highland Ave, Suite D, San Bernardino, CA 92404 Phone: 909-883-6400 Fax: 909-883-3269 |