Okamoto, Vance Gary

Okamoto, Vance Gary is an individual health care provider with primary practice located at 175 N Pennsylvania Ave #6 , Glendora CA 91741. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Okamoto, Vance Gary can be contacted via phone (626) 963-4173.

Contact Information

Primary practice address
175 N Pennsylvania Ave #6 Glendora CA 91741
Fax: (626) 963-6573
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 23859 California

Profile Details

NPI number 1346465051
LBN Legal business name Okamoto, Vance Gary
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Mar 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346465051 NPPES
California Other 64479 INVISALIGN
California Other 1681042 INVISALIGN

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