| NPI | 1104149038 |
|---|---|
| Doing Business As | VICTORY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARIA VENERACION SANTOS Dentist 951-445-4407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39078) |
| Enumeration Date | 2010-03-06 |
| Last Update Date | 2010-03-06 |