# ADRIENNE NGOC LAN VAN DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821263203
- **Authorized official:** DR. ADRIENNE VAN (DENTIST)
- **Authorized official phone:** (408) 298-8187

## Contact information

- **Practice address:** 2114 SENTER RD, SUITE 14, SAN JOSE, CA 95112-2608
- **Practice address phone:** (408) 298-8187
- **Mailing address:** 2114 SENTER RD, SUITE 14, SAN JOSE, CA 95112-2608
- **Mailing address phone:** (408) 298-8187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 40506 | CA | Yes |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 04/25/2008