Individual
DR. ROBERT J. VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5471 RFD, LONG GROVE, IL 60047-8211
(847) 668-3876
Mailing address
5471 RFD, LONG GROVE, IL 60047-8211
(847) 668-3876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001763
WI
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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