| Victory Dental Practice | |
|
1103 W Orangethorpe Ave Fullerton CA 92833-4735 | |
| (714) 871-8093 | |
| Not Available |
| Full Name | Victory Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1103 W Orangethorpe Ave, Fullerton, California |
| Authorized Official Name and Position | Lourdes Soriano Santos (OFFICE MANAGER) |
| Authorized Official Contact | 7148718093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Victory Dental Practice 1103 W Orangethorpe Ave Fullerton CA 92833-4735 Ph: (714) 871-8093 | Victory Dental Practice 1103 W Orangethorpe Ave Fullerton CA 92833-4735 Ph: (714) 871-8093 |
| NPI Number | 1457542581 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457542581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | B39078 (California) | Primary |
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