Individual
KAREN LISSETTE VILLARREAL ARIZPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS MSD
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-0412
Mailing address
115 E 5TH AVE APT 223, COLUMBUS, OH 43201-4263
(614) 400-3865
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
71.000290
OH
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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