Jose Villa Dds Pc Valid NPI
Organization · General Practice Dentistry · Waukegan, IL
- NPI
- 1053706481
- Type
- Organization (Type 2)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 019021973 (IL)
- Enumerated
- 2015-04-02
- Last updated
- 2015-04-02
Practice location
2841 Grand Ave
Waukegan, IL 60085-2372
(847) 360-1610