Individual
DR. BRYAN JOEL VANOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1236 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(847) 367-8656
(847) 557-1361
Mailing address
1236 AMERICAN WAY, LIBERTYVILLE, IL 60048-3936
(847) 367-8656
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
5681
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
021002313
IL
Other
Enumeration date
05/05/2007
Last updated
11/07/2023
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