ADRIENNE NGOC LAN VAN, DDS, INC.
Managed Care Organizations at Senter Rd, San Jose, CA

License number
California 40506
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. ADRIENNE VAN DDS
Title: DENTIST
Phone: (408) 298-8187
Address
Address
2114 Senter Rd STE 14, San Jose, CA 95112
National Provider ID: 1922455575
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ADRIENNE NGOC LAN VAN, DDS, INC. at bizstanding.com

ADRIENNE NGOC LAN VAN DDS, INC

2114 Senter Rd STE 14, San Jose, CA 95112

Status:
Inactive
Registration:
Jan 16, 2008
State ID:
C3064021
Business type:
Articles of Incorporation
President:
Adrienne Ngoc Lan Van President, inactive
Agent:
Adrienne Ngoc Lan Van,San Jose, CA 95112 (Physical)

Managed Care Organizations licenses in California










Other Doctors licenses in California