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Individual

MONICA E VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14525 LAKEWOOD BLVD, PARAMOUNT, CA 90723-3638
(562) 272-0000
Mailing address
12864 MORNING AVE, DOWNEY, CA 90242-4127
(323) 810-8775

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3242
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3242
CA
Enumeration date
10/24/2018
Last updated
10/24/2018
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