| Vance and Goodwin DDS | |
|
1897 Pecos St San Angelo TX 76901-3231 | |
| (325) 655-9133 | |
| Not Available |
| Full Name | Vance and Goodwin DDS |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1897 Pecos St, San Angelo, Texas |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vance and Goodwin DDS 1897 Pecos St San Angelo TX 76901-3231 Ph: (325) 655-9133 | Vance and Goodwin DDS 1897 Pecos St San Angelo TX 76901-3231 Ph: (325) 655-9133 |
| NPI Number | 1487326740 |
|---|---|
| Provider Enumeration Date | 10/04/2021 |
| Last Update Date | 10/04/2021 |
| Certification Date | 10/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487326740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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