Individual
DR. ELAINE L. VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17020 CONDIT RD, SUITE 180, MORGAN HILL, CA 95037-7229
(408) 778-4548
Mailing address
17020 CONDIT RD, SUITE 180, MORGAN HILL, CA 95037-7229
(408) 778-4548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42621
CA
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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