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Villalta Dental Corporation
Pediatric Dentist in Los Angeles, California
NPI 1982317657

Villalta Dental Corporation is a Pediatric Dentist based in Los Angeles, CA and is specialized in Pediatric Dentistry. Villalta Dental Corporation practices in Los Angeles, CA. The NPI Number for Villalta Dental Corporation is 1982317657 and holds a License No. (California).

The current practice location address for Villalta Dental Corporation is 12555 W Jefferson Blvd Ste 210, Los Angeles, CA and can be reached out via phone at 707-228-5974.

Location: 12555 W Jefferson Blvd Ste 210, Los Angeles, CA, 90066-7032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982317657
Provider Name
Villalta Dental Corporation
Credential
Provider Entity Type
Organization
Address
12555 W Jefferson Blvd Ste 210, Los Angeles, CA, 90066-7032
Phone Number
707-228-5974
Fax Number
Provider Enumeration Date
12/27/2022
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
707-228-5974
Fax Number
person
Provider Business Mailing Address Details
Address
12555 W Jefferson Blvd Ste 210
City
Los Angeles
State
California
Zip
90066-7032
Phone Number
707-228-5974
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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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