| Villaconn Llc | |
|
5760 S 86th St # 2 Lincoln NE 68526-6053 | |
| (402) 484-5760 | |
| (402) 484-0229 |
| Full Name | Villaconn Llc |
|---|---|
| Speciality | Dentist |
| Location | 5760 S 86th St # 2, Lincoln, Nebraska |
| Authorized Official Name and Position | Justin J Villafane (PRESIDENT, OWNER) |
| Authorized Official Contact | 4024845760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villaconn Llc 5760 S 86th St # 2 Lincoln NE 68526-6053 Ph: (402) 484-5760 | Villaconn Llc 5760 S 86th St # 2 Lincoln NE 68526-6053 Ph: (402) 484-5760 |
| NPI Number | 1912271966 |
|---|---|
| Provider Enumeration Date | 03/07/2012 |
| Last Update Date | 03/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912271966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6696 (Nebraska) | Primary |
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