Individual
BRENDA VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DA
Contact information
Practice address
1882 LOTUS PL, BREA, CA 92821-2753
(714) 482-8179
Mailing address
1882 LOTUS PL, BREA, CA 92821-2753
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
1331267936
CA
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
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