Individual
DR. TERRY VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2936 FORT BAKER DR SE, WASHINGTON, DC 20020-7222
(301) 326-5365
Mailing address
2936 FORT BAKER DR SE, WASHINGTON, DC 20020-7222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5996
DC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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