Organization
HAVEN PEDIATRIC DENTISTRY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS A VILLEGAS DDS (MEMBER/DENTIST)
(203) 933-0008
Entity
Organization
Contact information
Practice address
100 ELM ST, WEST HAVEN, CT 06516-3810
(203) 933-0008
(203) 931-1433
Mailing address
100 ELM ST, WEST HAVEN, CT 06516-3810
(203) 933-0008
(203) 931-1433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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