Individual
DR. HOWARD C VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3858 TYLER ST, RIVERSIDE, CA 92503-3431
(951) 509-8828
(951) 509-8788
Mailing address
3858 TYLER ST, RIVERSIDE, CA 92503-3431
(951) 509-8828
(951) 509-8788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
48777
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
48777
CA
Other
Enumeration date
09/30/2006
Last updated
04/29/2021
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