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Organization
H ROBERT VAN DEN BERG DDS INC
Active
Organization
H ROBERT VAN DEN BERG DDS INC
Active
Other names
Splash Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY ROBERT VAN DEN BERG DDS (PRESIDENT)
(209) 650-6560
Entity
Organization
Contact information
Practice address
230 S STERLING DR STE 233, MOUNTAIN HOUSE, CA 95391-3046
(209) 650-6560
(209) 407-3033
Mailing address
1501 BOLLINGER CANYON RD STE A, SAN RAMON, CA 94583-1758
(925) 838-0665
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
02/10/2019
Last updated
05/23/2023
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