Individual
VANESSA LEONOR VILLALOBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 PARK AVE NE UNIT 806, ATLANTA, GA 30326-3448
(540) 272-1205
Mailing address
1000 PARK AVE NE UNIT 806, ATLANTA, GA 30326-3448
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN122616
GA
Other
Enumeration date
02/25/2021
Last updated
10/01/2025
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