| Howard C Van Dds Inc | |
|
3858 Tyler St Riverside CA 92503-3431 | |
| (951) 509-8828 | |
| Not Available |
| Full Name | Howard C Van Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3858 Tyler St, Riverside, California |
| Authorized Official Name and Position | Howard C Van (PRESIDENT) |
| Authorized Official Contact | 7143486206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Howard C Van Dds Inc 3858 Tyler St Riverside CA 92503-3431 Ph: () - | Howard C Van Dds Inc 3858 Tyler St Riverside CA 92503-3431 Ph: (951) 509-8828 |
| NPI Number | 1447833462 |
|---|---|
| Provider Enumeration Date | 04/29/2021 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 3072913045 |
|---|---|
| Medicare Enrollment ID | O20210611002517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447833462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Howard C Van |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1578656807 PECOS PAC ID: 0042522831 Enrollment ID: I20210611002475 |
| Provider Name | Steve Lim |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1215291059 PECOS PAC ID: 7315281094 Enrollment ID: I20210706000738 |
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