Individual
VICTOR CELIS
Active
Individual
VICTOR CELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN015729
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN27779
FL
390200000X
Student in an Organized Health Care Education/Training Program
DN015729
GA
Other
Enumeration date
04/18/2018
Last updated
04/12/2023
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