DR. Phuong Kim Van, D.M.D.

NPI #1164872578 in Clermont, Florida

Provider Information

NPI Number: 1164872578
Entity Type: Individual
Name: DR. Phuong Kim Van, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 16, 2016
Last Updated: Jan 30, 2017

Practice Location

Address: 3185 CITRUS TOWER BLVD
City: Clermont
State: Florida
ZIP Code: 34711-6803
Phone: (352) 271-8471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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