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Organization
DAVID P VAN PEURSEM DDS A PROFESSIONAL CORPORATION
Active
Organization
DAVID P VAN PEURSEM DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P VAN PEURSEM DDS (CEO DENTIST)
(415) 457-2244
Entity
Organization
Contact information
Practice address
508 RED HILL AVE, SAN ANSELMO, CA 94960-2436
(415) 457-2244
(415) 457-3562
Mailing address
508 RED HILL AVE, SAN ANSELMO, CA 94960-2436
(415) 457-2244
(415) 457-3562
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23794
CA
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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