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Organization

G VILLEGAS DDS DENTAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLORIA ESTELLA VILLEGAS (OWNER DENTIST)
(949) 648-4769
Entity
Organization

Contact information

Practice address
1126 N FLOWER ST, SUITE #A, SANTA ANA, CA 92703-2385
(657) 247-0570
(657) 247-0569
Mailing address
1126 N FLOWER ST, SUITE #A, SANTA ANA, CA 92703-2385
(657) 247-0570
(657) 247-0569

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
58271
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1659507440
DENTICAL
CA
Enumeration date
08/15/2015
Last updated
07/30/2020
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