Individual
ADRIENNE NGOCLAN VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2114 SENTER RD, SUITE 14, SAN JOSE, CA 95112-2608
(408) 298-8187
Mailing address
3325 VILLA CONTESSA CT, SAN JOSE, CA 95135-1770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40506
CA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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