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Individual

HUMBERTO VILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
418 AVE JOSE DE DIEGO, ARECIBO, PR 00612-4383
(787) 879-3620
Mailing address
418 AVE JOSE DE DIEGO, ARECIBO, PR 00612-4383
(787) 879-3620

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
00942
PR

Other

Enumeration date
06/23/2007
Last updated
07/08/2007
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