Individual
DR. WALTER VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4102 N 24TH ST, SUITE 2, PHOENIX, AZ 85016-6283
(602) 956-2024
(602) 956-2209
Mailing address
4102 N 24TH ST, SUITE 2, PHOENIX, AZ 85016-6283
(602) 956-2024
(602) 956-2209
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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