Individual
DR. RICHARD JAY VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2105 STATE ROUTE 35, OAKHURST, NJ 07755-7207
(732) 695-2202
(732) 695-2205
Mailing address
2105 STATE ROUTE 35, OAKHURST, NJ 07755-7207
(732) 695-2202
(732) 695-2205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01545300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI01545300
STATE LICENSE/CERTIFICATE
NJ
Enumeration date
09/21/2006
Last updated
07/08/2007
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