Organization
RUBEN JESUS VILLA DDS,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBEN VILLA DDS (DENTIST)
(209) 207-1353
Entity
Organization
Contact information
Practice address
95 W 11TH ST STE 202, TRACY, CA 95376-3961
(209) 229-8108
Mailing address
695 LARKSPUR DR, TRACY, CA 95376-9782
(209) 207-1353
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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