DR. Jose Luis Villa JR., DDS
NPI #1063973949 in San Jacinto, California
Provider Information
- NPI Number
- 1063973949
- Entity Type
- Individual
- Name
- DR. Jose Luis Villa JR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Mar 25, 2019
- Last Updated
- Jan 19, 2024
Practice Location
- Address
- 2191 W ESPLANADE AVE STE 106G
- City
- San Jacinto
- State
- California
- ZIP Code
- 92582-3725
- Phone
- (951) 654-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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