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Individual

DR. FRED C. VANKEUREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
6 SEMINARY LN, SPARTA, NJ 07871-2404
(973) 729-3700
(973) 726-9549
Mailing address
6 SEMINARY LN, SPARTA, NJ 07871-2404
(973) 729-3700
(973) 726-9549

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DIO 16523
NJ

Other

Enumeration date
12/30/2006
Last updated
07/08/2007
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