Villacis Dental Corporation | |
520 E Carson Plaza Ct Ste 101 Carson CA 90746-3289 | |
(310) 313-5150 | |
(310) 313-5154 |
Full Name | Villacis Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 520 E Carson Plaza Ct, Carson, California |
Authorized Official Name and Position | Saskia M Villacis (DDS) |
Authorized Official Contact | 3103135150 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Villacis Dental Corporation 520 E. Carson Plaza Curt Ste 101 Carson CA 90746-3844 Ph: (310) 313-5150 | Villacis Dental Corporation 520 E Carson Plaza Ct Ste 101 Carson CA 90746-3289 Ph: (310) 313-5150 |
NPI Number | 1750747234 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 05/11/2017 |
Identifier | Type | State | Issuer |
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1750747234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 41690 (California) | Primary |
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