Organization
MARVILL DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCOS F VILLARREAL DDS (DENTIST/OWNER)
(972) 475-3995
Entity
Organization
Contact information
Practice address
3613 MAIN ST, ROWLETT, TX 75088-5003
(972) 475-3995
(972) 463-4298
Mailing address
PO BOX 310, ROWLETT, TX 75030-0310
(972) 475-3995
(972) 463-4298
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
29952
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306251756
INDIVIDUAL NPI
—
Enumeration date
05/21/2018
Last updated
05/21/2018
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