Jim Van, DDS
NPI #1649796293 in Saint Cloud, Florida
Provider Information
- NPI Number
- 1649796293
- Entity Type
- Individual
- Name
- Jim Van, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Aug 16, 2017
- Last Updated
- Aug 17, 2017
Practice Location
- Address
- 2050 OLD HICKORY TREE RD
- City
- Saint Cloud
- State
- Florida
- ZIP Code
- 34772-8926
- Phone
- (407) 556-3696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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