Individual
ROBERT KEMP VAN WAGENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
VIA GIORGIO CORBETTA, VICENZA, VI 36100
Mailing address
VIA GIORGIO CORBETTA, 17, VICENZA, VI 36100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00202992
CO
Other
Enumeration date
10/26/2016
Last updated
07/14/2026
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