Individual
DR. EDWARD O. VILLARREAL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1184 E CANVASBACK DR, TERRE HAUTE, IN 47802-5302
(812) 299-8715
Mailing address
1184 E CANVASBACK DR, TERRE HAUTE, IN 47802-5302
(812) 299-8715
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9274
IN
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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