Individual
HANG VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4184 MAYFAIR LN, PORT ORANGE, FL 32129-7506
(352) 214-4744
Mailing address
4184 MAYFAIR LN, PORT ORANGE, FL 32129-7506
(352) 214-4744
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19018
FL
Other
Enumeration date
06/13/2010
Last updated
06/13/2010
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