Individual
HARRY ROBERT VAN DEN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1501 BOLLINGER CANYON RD STE A, SAN RAMON, CA 94583-1758
(925) 838-0665
(925) 523-6580
Mailing address
1501 BOLLINGER CANYON RD, SUITE A, SAN RAMON, CA 94583-1758
(925) 838-0665
(925) 838-0668
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
45210
CA
Other
Enumeration date
06/11/2007
Last updated
05/23/2023
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