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Organization

VICTORIAN DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER HAMILTON RAE DMD (PRESIDENT)
(386) 624-7658
Entity
Organization

Contact information

Practice address
131 VICTORIA COMMONS BLVD, DELAND, FL 32724
(386) 624-7658
(386) 873-4625
Mailing address
1431 ORANGE CAMP RD STE 108, DELAND, FL 32724-7769
(386) 624-7658
(386) 873-4625

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/08/2019
Last updated
12/10/2019
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