| Villago Dental Corporation | |
|
7133 Sepulveda Blvd Van Nuys CA 91405-2930 | |
| (818) 988-8184 | |
| (818) 988-8727 |
| Full Name | Villago Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7133 Sepulveda Blvd, Van Nuys, California |
| Authorized Official Name and Position | Gloriana Co Ting Keh Villago (PRESIDENT) |
| Authorized Official Contact | 8189888184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villago Dental Corporation 7133 Sepulveda Blvd Van Nuys CA 91405-2930 Ph: (818) 988-8184 | Villago Dental Corporation 7133 Sepulveda Blvd Van Nuys CA 91405-2930 Ph: (818) 988-8184 |
| NPI Number | 1073028718 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073028718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 48054 (California) | Primary |
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