Individual
JOHN VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 828-0052
Mailing address
781 36TH ST SE, GRAND RAPIDS, MI 49548-2319
(616) 828-0052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016117
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4159923
—
MI
05
—
4535119
—
MI
05
—
4535763
—
MI
Enumeration date
08/16/2006
Last updated
12/06/2023
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