Individual
DR. JAMES KELLAN VILLALON
Active
Individual
DR. JAMES KELLAN VILLALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11742
CT
122300000X
Dentist
203024
CO
1223D0004X
Dental Anesthesiology
Primary
GEN.02786194
CO
Other
Enumeration date
08/07/2015
Last updated
12/10/2020
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