Organization
VICTORY SMILES OF VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA GRANTHAM (OWNER)
(804) 787-3434
Entity
Organization
Contact information
Practice address
1405 WESTOVER HILLS BLVD, SUITE 6, RICHMOND, VA 23225-3153
(804) 505-0337
Mailing address
1405 WESTOVER HILLS BLVD, SUITE 6, RICHMOND, VA 23225-3153
(804) 505-0337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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