Vivian Villasenor, DMD

NPI #1124743851 in Jurupa Valley, California

Provider Information

NPI Number: 1124743851
Entity Type: Individual
Name: Vivian Villasenor, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Oct 5, 2022
Last Updated: Oct 5, 2022

Practice Location

Address: 6445 PATS RANCH RD
City: Jurupa Valley
State: California
ZIP Code: 91752-4439
Phone: (951) 808-5881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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