JIM VAN

SAINT CLOUD, FL
NPI1649796293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN23005)
Enumeration Date2017-08-16
Last Update Date2017-08-17
Business Address
JIM VAN DDS
2050 OLD HICKORY TREE RD
SAINT CLOUD, FL 34772-8926
Phone number: 407-556-3696
Mailing Address
JIM VAN DDS
2704 CYPRESSWAY CT
ORLANDO, FL 32825-8563
Phone number: