Individual
DR. KEVIN DAVIS VAN ASCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8410 DATAPOINT DR, SAN ANTONIO, TX 78229-3220
(704) 519-5068
Mailing address
14960 BULL HILL RD, OAKBORO, NC 28129-9650
(704) 519-5068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12752
NC
261QD0000X
Dental Clinic/Center
—
NC
261QD0000X
Dental Clinic/Center
—
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
01/19/2022
Last updated
05/31/2022
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