Individual
DR. VICTORIA DZUNDZEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
6121 N HANLEY RD, SAINT LOUIS, MO 63134-2003
(314) 615-0500
(314) 615-8303
Mailing address
141 N MERAMEC AVE STE 14, SAINT LOUIS, MO 63105-3750
(314) 862-2006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015366
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015366
MO LICENSE NUMBER
MO
05
—
403231012
—
MO
Enumeration date
02/01/2007
Last updated
05/09/2013
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