Individual
CARLOS ELIAS VILLACIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6450 W 21ST CT STE 300, HIALEAH, FL 33016-3943
(786) 566-8557
Mailing address
6450 W 21ST CT STE 300, HIALEAH, FL 33016-3943
(786) 566-8557
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
17083
MD
122300000X
Dentist
Primary
DN24460
FL
Other
Enumeration date
08/06/2019
Last updated
05/26/2026
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