Individual
DR. MAMERTO S VILLAMONTE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7234 W NORTH AVE, SUITE 209, ELMWOOD PARK, IL 60707-4239
(708) 583-1557
Mailing address
7234 W NORTH AVE, SUITE 209, ELMWOOD PARK, IL 60707-4239
(708) 583-1557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004705
—
IL
Enumeration date
10/14/2005
Last updated
08/18/2007
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