Individual
DR. MARTHA C. VILLASENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6411 34TH ST, BERWYN, IL 60402-3717
(708) 484-6576
Mailing address
6411 34TH ST, BERWYN, IL 60402-3717
(708) 484-6576
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.024012
IL
Other
Enumeration date
05/07/2008
Last updated
11/18/2025
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