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Organization

VICTORY 96 LLC

Active
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Organization

VICTORY 96 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS ROLLO (OWNER)
(862) 596-2898
Entity
Organization

Contact information

Practice address
86 VALLEY RD STE 2, MONTCLAIR, NJ 07042-2209
(973) 746-1616
Mailing address
86 VALLEY RD STE 2, MONTCLAIR, NJ 07042-2209

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/05/2026
Last updated
08/05/2026
About Stedi
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  • Eligibility checks
  • EDI platform