DR. Alex R Vanacker, DDS

NPI #1083723118 in Penrose, Colorado

Provider Information

NPI Number: 1083723118
Entity Type: Individual
Name: DR. Alex R Vanacker, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 712 BROADWAY ST
City: Penrose
State: Colorado
ZIP Code: 81240-9003
Phone: (719) 372-3041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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