NPI | 1932572435 |
---|---|
Doing Business As | VAN NESS FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | VLADISLAV KAMANIN Owner 415-487-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2015-11-05 |
Last Update Date | 2015-11-05 |