# DRS VILLARROEL & VILLARROEL DDS INC

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

## Provider details

- **NPI number:** 1861771271
- **Authorized official:** DR. FERNANDO J VILLARROEL D.D.S (PRESIDENT)
- **Authorized official phone:** (909) 421-1555

## Contact information

- **Practice address:** 2010 N RIVERSIDE AVE STE A, RIALTO, CA 92377-4652
- **Practice address phone:** (909) 421-1555
- **Mailing address:** 2010 N RIVERSIDE AVE STE A, RIALTO, CA 92377-4652
- **Mailing address phone:** (909) 421-1555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 44377 | CA | Yes |

## Other

- **Enumeration date:** 08/16/2011
- **Last updated:** 08/16/2011
