Organization
VILLALUZ AND RODRIGUEZ, PS
Active
Other names
South View Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P VILLALUZ DDS (OWNER)
(360) 567-0296
Entity
Organization
Contact information
Practice address
3200 SE 164TH AVE STE 207, VANCOUVER, WA 98683-1109
(360) 567-0296
(360) 567-0299
Mailing address
3200 SE 164TH AVE STE 207, VANCOUVER, WA 98683-1109
(360) 567-0296
(360) 567-0299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00008204
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5051651
—
WA
Enumeration date
04/23/2010
Last updated
04/23/2010
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