| Victorian Dental | |
|
131 Victoria Commons Blvd Deland FL 32724 | |
| (386) 624-7658 | |
| (386) 873-4625 |
| Full Name | Victorian Dental |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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