| Katherine Vance Dds Inc | |
|
605 Cassidy St Oceanside CA 92054-6033 | |
| (858) 306-2532 | |
| Not Available |
| Full Name | Katherine Vance Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 605 Cassidy St, Oceanside, California |
| Authorized Official Name and Position | Katherine Vance (DENTIST/ OWNER) |
| Authorized Official Contact | 2186896363 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Vance Dds Inc 605 Cassidy St Oceanside CA 92054-6033 Ph: () - | Katherine Vance Dds Inc 605 Cassidy St Oceanside CA 92054-6033 Ph: (858) 306-2532 |
| NPI Number | 1548953342 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 05/30/2023 |
| Medicare PECOS PAC ID | 9638525132 |
|---|---|
| Medicare Enrollment ID | O20231019000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548953342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Katherine Talitha Anne Vance |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1457966566 PECOS PAC ID: 1456707959 Enrollment ID: I20231019000714 |
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