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Organization
VICTORY DENTAL CENTER, LLC
Active
Organization
VICTORY DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CEDRICK BROWN MCDONALD DDS (DENTIST/OWNER)
(803) 547-2280
Entity
Organization
Contact information
Practice address
9787 CHARLOTTE HIGHWAY, SUITE 201, INDIAN LAND, SC 29707-5511
(803) 579-9775
Mailing address
9787 CHARLOTTE HIGHWAY, SUITE 201, INDIAN LAND, SC 29707-5511
(803) 547-2280
(803) 547-4208
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4382
SC
Other
Enumeration date
10/26/2009
Last updated
03/20/2015
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