| NPI | 1457542581 |
|---|---|
| Doing Business As | VICTORY DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | LOURDES SORIANO SANTOS Office Manager 714-871-8093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B39078) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |