DR. Leonor Cecilia Villalta, DDS

NPI #1700034089 in Champaign, Illinois

Provider Information

NPI Number
1700034089
Entity Type
Individual
Name
DR. Leonor Cecilia Villalta, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Aug 28, 2008
Last Updated
Feb 10, 2015

Practice Location

Address
2547 W SPRINGFIELD AVE APT 2
ZIP Code
61821-2821
Phone
(217) 552-8503

Specialties & Taxonomy Codes

Specialty
Dentist

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