Organization
LAWRENCE VILLARREAL DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE VILLARREAL DDS (OWNER)
(626) 449-4795
Entity
Organization
Contact information
Practice address
1730 E WALNUT ST, PASADENA, CA 91106-1612
(626) 449-4795
(626) 449-7242
Mailing address
1730 E WALNUT ST, PASADENA, CA 91106-1612
(626) 449-4795
(626) 449-7242
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
24882
CA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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