Organization
ADRIENNE NGOC LAN VAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE VAN (DENTIST)
(408) 298-8187
Entity
Organization
Contact information
Practice address
2114 SENTER RD, SUITE 14, SAN JOSE, CA 95112-2608
(408) 298-8187
Mailing address
2114 SENTER RD, SUITE 14, SAN JOSE, CA 95112-2608
(408) 298-8187
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40506
CA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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