Individual
DR. MICHAEL ROBERT VILLACARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
398 192ND ARMORED TANK BATTALION RD, BLDG 1022 RM 231, USA DENTAC, FORT KNOX, KY 40121-5116
(502) 624-6158
(502) 624-2966
Mailing address
398 192ND ARMORED TANK BATTALION RD, BLDG 1022 RM 231, USA DENTAC, FORT KNOX, KY 40121-5116
(502) 624-6158
(502) 624-2966
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02365400
NJ
Other
Enumeration date
10/22/2007
Last updated
07/01/2015
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