Victory Dental Practice | |
24910 Las Brisas Rd Suite 104 Murrieta CA 92562-4010 | |
(951) 445-4407 | |
(951) 445-4421 |
Full Name | Victory Dental Practice |
---|---|
Speciality | Dentist - General Practice |
Location | 24910 Las Brisas Rd, Murrieta, California |
Authorized Official Name and Position | Maria Veneracion Santos (DENTIST) |
Authorized Official Contact | 9514454407 |
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 24910 Las Brisas Rd Suite 104 Murrieta CA 92562-4010 Ph: (951) 445-4407 |
NPI Number | 1104149038 |
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Provider Enumeration Date | 03/06/2010 |
Last Update Date | 03/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104149038 | NPI | - | NPPES |
B3907802 | Other | CA | DENTI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 39078 (California) | Primary |
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