Organization
MAIN STREET DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN C VILLALOBOS DDS (PRESIDENT)
(201) 736-2775
Entity
Organization
Contact information
Practice address
7 N MAIN ST, SPRING VALLEY, NY 10977-4962
(201) 865-6740
Mailing address
6 ORCHARD ST, EDGEWATER, NJ 07020-1511
(201) 865-6740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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