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Organization
VICTUS DENTAL
Active
Organization
VICTUS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY NGUYEN LE DMD (DENTIST/OWNER)
(850) 532-7815
Entity
Organization
Contact information
Practice address
2850 MONROE ST, PENSACOLA, FL 32514-7656
(850) 484-4844
Mailing address
2850 MONROE ST, PENSACOLA, FL 32514-7656
(850) 484-4844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20335
FL
Other
Enumeration date
09/04/2015
Last updated
07/15/2016
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