Individual
DR. STEFFANY CHAMUT VILLARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS. MPH
Contact information
Practice address
13065 E 17TH AVE RM 104L, AURORA, CO 80045-2532
(210) 392-5157
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(210) 392-5157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DF11445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200140
—
MA
05
—
1255806212
—
CO
Enumeration date
10/05/2018
Last updated
06/06/2024
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