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Dr. Jennifer Villalta, DDS,MPH
Pediatric Dentist in Los Angeles, California
NPI 1952841389

Jennifer Villalta is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Jennifer Villalta practices in Los Angeles, CA and has the professional credentials of DDS,MPH. The NPI Number for Jennifer Villalta is 1952841389 and holds a License No. 104258 (California).

The current practice location address for Jennifer Villalta is 12555 W Jefferson Blvd Ste 210, Los Angeles, CA and can be reached out via phone at 310-439-1751 and via fax at 310-439-1752.

Location: 12555 W Jefferson Blvd Ste 210, Los Angeles, CA, 90066-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952841389
Provider Name
Jennifer Villalta
Credential
DDS,MPH
Provider Entity Type
Individual
Gender
Female
Address
12555 W Jefferson Blvd Ste 210, Los Angeles, CA, 90066-7032
Phone Number
310-439-1751
Fax Number
310-439-1752
Provider Enumeration Date
03/04/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
12555 W Jefferson Blvd Ste 210
City
Los Angeles
State
California
Zip
90066-7032
Phone Number
310-439-1751
Fax Number
310-439-1752
person
Provider Business Mailing Address Details
Address
12555 W Jefferson Blvd Ste 210
City
Los Angeles
State
California
Zip
90066-7032
Phone Number
310-439-1751
Fax Number
310-439-1752
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
104258 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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