Individual
MARIA VILLEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 E PALMETTO ST, WAUCHULA, FL 33873-2732
(863) 773-2111
(863) 292-4293
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(863) 291-5110
(863) 268-7899
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH23423
FL
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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