Victorian Dental | |
131 Victoria Commons Blvd Deland FL 32724 | |
(386) 624-7658 | |
(386) 873-4625 |
Full Name | Victorian Dental |
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Speciality | Clinic/center - Dental |
Location | 131 Victoria Commons Blvd, Deland, Florida |
Authorized Official Name and Position | Christopher Hamilton Rae (PRESIDENT) |
Authorized Official Contact | 3866247658 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Victorian Dental 1431 Orange Camp Rd Ste 108 Deland FL 32724-7769 Ph: (386) 624-7658 | Victorian Dental 131 Victoria Commons Blvd Deland FL 32724 Ph: (386) 624-7658 |
NPI Number | 1033774757 |
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Provider Enumeration Date | 05/08/2019 |
Last Update Date | 12/10/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033774757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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