THEODORE RICHARD VAN DAM

SAN CLEMENTE, CA
NPI1871527226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A24788)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
Dr. THEODORE RICHARD VAN DAM M.D.
665 CAMINO DE LOS MARES 210
SAN CLEMENTE, CA 92673
Phone number: 949-240-6772
Mailing Address
Dr. THEODORE RICHARD VAN DAM M.D.
665 CAMINO DE LOS MARES 210
SAN CLEMENTE, CA 92673
Phone number: 949-240-6772
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