Individual
DR. STEFAN J VILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
5750 BENTLEY WAY, TRUSSVILLE, AL 35173-6700
(205) 900-9473
Mailing address
5750 BENTLEY WAY, TRUSSVILLE, AL 35173-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D.0006796-C1
AL
1223G0001X
General Practice Dentistry
D.0006796-C1
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D.0006796-C1
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD.49116
AL
Other
Enumeration date
04/12/2018
Last updated
10/09/2024
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