| Elaine L. Van, Dds | |
|
17020 Condit Rd #180 Morgan Hill CA 95037-7229 | |
| (408) 778-4548 | |
| (408) 778-4648 |
| Full Name | Elaine L. Van, Dds |
|---|---|
| Speciality | Dentist |
| Location | 17020 Condit Rd, Morgan Hill, California |
| Authorized Official Name and Position | Elaine L Van (OWNER) |
| Authorized Official Contact | 4087784548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine L. Van, Dds 17020 Condit Rd #180 Morgan Hill CA 95037-7229 Ph: (408) 778-4548 | Elaine L. Van, Dds 17020 Condit Rd #180 Morgan Hill CA 95037-7229 Ph: (408) 778-4548 |
| NPI Number | 1316342694 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316342694 | NPI | - | NPPES |
| 1497801336 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42621 (California) | Primary |
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