Individual
DR. DEAN ANTHONY VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, D.ABDSM
Contact information
Practice address
25631 GRATIOT, ROSEVILLE, MI 48066-4434
(586) 775-3312
(586) 775-4780
Mailing address
25631 GRATIOT, ROSEVILLE, MI 48066-4434
(586) 775-3312
(586) 775-4780
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10498
MI
332BC3200X
Customized Equipment (DME)
10498
MI
Other
Enumeration date
10/06/2006
Last updated
04/25/2008
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