Organization
VIVIAN VILLALOBOS DDS PA
Active
Other names
Vivian Villalobos DDS PA
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA INGA (OFFICE MANAGER)
(201) 865-6740
Entity
Organization
Contact information
Practice address
4801-07 BERGENLINE AVE, UNION CITY, NJ 07087
(201) 865-6740
(201) 865-6739
Mailing address
4801-07 BERGENLINE AVE, UNION CITY, NJ 07087
(201) 865-6740
(201) 865-6739
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4996500
—
NJ
Enumeration date
03/01/2023
Last updated
03/01/2023
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