Individual
DR. DAVID RICHARD VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 W GOODWIN ST, PLEASANTON, TX 78064-4115
(830) 569-5518
Mailing address
220 A WEST GOODWIN, PLEASANTON, TX 78064
(830) 569-5518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20032
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4024080
BCBS OF TEXAS
TX
01
—
890420
UNITED CONCORDIA
TX
01
—
B20032
DELTA DENTAL CHIP
TX
Enumeration date
11/03/2006
Last updated
07/09/2007
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