Individual
DR. IAN P. VAN ZYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
21038 CALISTOGA ST., MIDDLETOWN, CA 95461-1124
(707) 987-2773
(707) 987-0688
Mailing address
PO BOX 1124, MIDDLETOWN, CA 95461-1124
(707) 987-2773
(707) 987-0688
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
45050
CA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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