Individual
DR. DONALD VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1036-42 DUNN AVE, JACKSONVILLE, FL 32218-6359
(954) 790-2091
Mailing address
2325 SW 185TH AVE, MIRAMAR, FL 33029-5904
(954) 790-2091
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20242
FL
Other
Enumeration date
07/02/2013
Last updated
07/11/2013
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