Individual
DR. DEBORAH VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5729 NUTWOOD CIR, SIMI VALLEY, CA 93063-3566
(805) 297-5035
Mailing address
5729 NUTWOOD CIR, SIMI VALLEY, CA 93063-3566
(805) 297-5035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
106509
CA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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