Individual
DR. CARLOS F VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PROSTHODONTIST
Contact information
Practice address
15641 SHERIDAN ST STE 400, DAVIE, FL 33331-3485
(954) 270-7923
(954) 262-7335
Mailing address
15641 SHERIDAN ST STE 400, DAVIE, FL 33331-3485
(954) 270-7923
(954) 262-7335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20349
FL
1223G0001X
General Practice Dentistry
DN20349
FL
1223P0700X
Prosthodontics
DN20349
FL
Other
Enumeration date
08/24/2011
Last updated
01/14/2022
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