Individual
DR. VINCENT D VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1771 TRUDEAN WAY, SAN JOSE, CA 95132-1540
(408) 768-7858
Mailing address
1771 TRUDEAN WAY, SAN JOSE, CA 95132-1540
(408) 768-7858
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
62978
CA
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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