Individual
MRS. JESSICA LAUREN VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4206 E CHANDLER BLVD STE 20, PHOENIX, AZ 85048-8885
(480) 339-7652
Mailing address
4206 E CHANDLER BLVD STE 20, PHOENIX, AZ 85048-8885
(480) 339-7652
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D008696
AZ
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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