# G VILLEGAS DDS DENTAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225404023
- **Authorized official:** GLORIA ESTELLA VILLEGAS (OWNER DENTIST)
- **Authorized official phone:** (949) 648-4769

## Contact information

- **Practice address:** 1126 N FLOWER ST, SUITE \#A, SANTA ANA, CA 92703-2385
- **Practice address phone:** (657) 247-0570
- **Practice address fax:** (657) 247-0569
- **Mailing address:** 1126 N FLOWER ST, SUITE \#A, SANTA ANA, CA 92703-2385
- **Mailing address phone:** (657) 247-0570
- **Mailing address fax:** (657) 247-0569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 58271 | CA | Yes |

## Other

- **Enumeration date:** 08/15/2015
- **Last updated:** 07/30/2020