Individual
DR. CHASE STONE VAN GORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
36000 DARNALL LOOP STE 1051, FORT CAVAZOS, TX 76544-5095
(254) 287-1225
Mailing address
36000 DARNALL LOOP STE 1051, FORT CAVAZOS, TX 76544-5095
(254) 287-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36505
TX
Other
Enumeration date
08/20/2020
Last updated
06/28/2023
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