Individual
DR. PATRICIA VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1645 E HWY 50, CLERMONT, FL 34711-5199
(954) 661-8608
Mailing address
9131 DOLLANGER CT, ORLANDO, FL 32819-4064
(954) 661-8608
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10522
CO
1223P0221X
Pediatric Dentistry
29480
TX
1223P0221X
Pediatric Dentistry
Primary
DN 18711
FL
Other
Enumeration date
03/22/2011
Last updated
05/04/2015
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