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Individual

DR. MARTIN F VANVLIET

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
19 WOODSIDE PL, HIGHLAND, NY 12528-1413
(845) 691-8330
(845) 691-7019
Mailing address
19 WOODSIDE PL, HIGHLAND, NY 12528-1413
(845) 691-8330
(845) 691-7019

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
11843
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
31621
NY

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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