| NPI | 1942296942 |
|---|---|
| Professional Name | VINCENT T. VAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN19534) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D 8293) |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2013-04-24 |