Organization
WOODWARD & VILLAFANE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN A. VILLAFANE (SEC/TREAS.)
(402) 223-2139
Entity
Organization
Contact information
Practice address
801 WEST COURT STREET, BEATRICE, NE 68310-3577
(402) 223-2139
(402) 223-4348
Mailing address
801 WEST COURT STREET, BEATRICE, NE 68310-3577
(402) 223-2139
(402) 223-4348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025078900
—
NE
Enumeration date
05/09/2011
Last updated
05/09/2011
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