Individual provider · Type 1 NPI
Harry Robert Van Den Berg, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · San Ramon, CA
Practice location
1501 Bollinger Canyon Rd Ste A
San Ramon, CA 94583-1758
Fax (925) 523-6580
Mailing address
1501 Bollinger Canyon Rd, Suite A
San Ramon, CA 94583-1758
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 45210 (CA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1174727648
Harry Robert Van Den Berg, DDS's National Provider Identifier is 1174727648, issued on Jun 11, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in San Ramon, CA. The record was last updated on May 23, 2023.