Ernesto a Villalobos, Dds, Ms, LLC

NPI #1528400371 in Mendota, Illinois

Provider Information

NPI Number: 1528400371
Entity Type: Organization
Organization Name: Ernesto a Villalobos, Dds, Ms, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 22, 2013
Last Updated: Dec 8, 2013

Practice Location

Address: 1318 MERIDEN ST
City: Mendota
State: Illinois
ZIP Code: 61342-1030
Phone: (815) 539-3000

Authorized Official

Name: DR. ERNESTO A VILLALOBOS, DDS, MS
Title: PRESIDENT
Phone: (815) 875-3032

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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