Trace David Vancleave, DMD

NPI #1962392860 in Enterprise, Oregon

Provider Information

NPI Number
1962392860
Entity Type
Individual
Name
Trace David Vancleave, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jul 3, 2025
Last Updated
Jul 3, 2025

Practice Location

Address
603 MEDICAL PKWY
State
Oregon
ZIP Code
97828-5124
Phone
(541) 426-4502

Specialties & Taxonomy Codes

Specialty
Dentist

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