Individual
JENNIFER ROSE VAN HOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3573 SUNSET BLVD, WEST COLUMBIA, SC 29169-3043
(803) 973-4530
(803) 973-4533
Mailing address
3573 SUNSET BLVD, WEST COLUMBIA, SC 29169-3043
(803) 973-4530
(803) 973-4533
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416503
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DGD.10440
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0401416503
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0401416503
VA
Other
Enumeration date
06/14/2019
Last updated
08/22/2023
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