| Ruben Jesus Villa Dds,inc | |
|
95 W 11th St Ste 202 Tracy CA 95376-3961 | |
| (209) 229-8108 | |
| Not Available |
| Full Name | Ruben Jesus Villa Dds,inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 95 W 11th St Ste 202, Tracy, California |
| Authorized Official Name and Position | Ruben Villa (DENTIST) |
| Authorized Official Contact | 2092071353 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben Jesus Villa Dds,inc 695 Larkspur Dr Tracy CA 95376-9782 Ph: (209) 207-1353 | Ruben Jesus Villa Dds,inc 95 W 11th St Ste 202 Tracy CA 95376-3961 Ph: (209) 229-8108 |
| NPI Number | 1528794815 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 07/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528794815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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