Vincent D Van DDS

NPI 1053748608 - Dentist - 1223P0221X

NPI Details
NPI 1053748608
Gender Male
Enumeration Date 09/27/2013
Last Updated 09/27/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
1771 TRUDEAN WAY
SAN JOSE CA, 95132-1540, US
Phone (408) 768-7858
Fax
Business Location
1771 TRUDEAN WAY
SAN JOSE CA, 95132-1540, US
Phone (408) 768-7858
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State California
License Number 62978
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According to our database, Dr. Vincent D Van DDS NPI is 1053748608, taxonomy code is 1223P0221X and license number is 62978, license state is located at California. Vincent D Van DDS physically located at 1771 Trudean Way, San Jose CA, 95132-1540. NPI Number Vincent D Van DDS has the Individual type.

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1053748608 NPI number is provided on an as is basis without warranty of any kind. 1053748608 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent D Van DDS are for informational purposes only.