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Organization
VICTORIA PRASOL, DDS, INC.
Active
Organization
VICTORIA PRASOL, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA Y PRASOL D.D.S. (DOCTOR)
(661) 297-7580
Entity
Organization
Contact information
Practice address
26893 BOUQUET CANYON RD STE G, SANTA CLARITA, CA 91350-2374
(661) 297-7580
(661) 297-5298
Mailing address
26893 BOUQUET CANYON RD STE G, SANTA CLARITA, CA 91350-2374
(661) 297-7580
(661) 297-5298
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93575-01
DENTI-CAL PROVIDER ID
CA
Enumeration date
01/10/2007
Last updated
08/22/2020
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