DR. Bradley Lance, DDS

NPI #1356900872 in O Fallon, Missouri

Provider Information

NPI Number: 1356900872
Entity Type: Individual
Name: DR. Bradley Lance, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 8, 2019
Last Updated: Jun 8, 2019

Practice Location

Address: 7766 WINGHAVEN BLVD
City: O Fallon
State: Missouri
ZIP Code: 63368-3601
Phone: (636) 561-4117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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