| Robert Villa Dds, Pllc | |
|
5471 Rfd Long Grove IL 60047-8211 | |
| (847) 668-3876 | |
| Not Available |
| Full Name | Robert Villa Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5471 Rfd, Long Grove, Illinois |
| Authorized Official Name and Position | Robert Villa (DENTIST) |
| Authorized Official Contact | 8476683876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Villa Dds, Pllc 5471 Rfd Long Grove IL 60047-8211 Ph: (847) 668-3876 | Robert Villa Dds, Pllc 5471 Rfd Long Grove IL 60047-8211 Ph: (847) 668-3876 |
| NPI Number | 1376183434 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 01/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376183434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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