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Adam Van Leeuwen, D.D.S
NPI 1003016536 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6936 South 2475 East
201
Salt Lake City, UT 84121 - Phone
- (801) 943-1612
- Fax
- (801) 942-6008
- Organisation at this address
- Michael Van Leeuwen Dmd Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah