| Villaz Dental Pc | |
|
298 W North Ave Villa Park IL 60181-1159 | |
| (630) 530-9000 | |
| Not Available |
| Full Name | Villaz Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 298 W North Ave, Villa Park, Illinois |
| Authorized Official Name and Position | Nishu Sharma (PRESIDENT) |
| Authorized Official Contact | 6305309000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villaz Dental Pc 298 W North Ave Villa Park IL 60181-1159 Ph: () - | Villaz Dental Pc 298 W North Ave Villa Park IL 60181-1159 Ph: (630) 530-9000 |
| NPI Number | 1801347323 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801347323 | NPI | - | NPPES |
| 1063709186 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028703 (Illinois) | Primary |
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