Individual
DR. RAQUEL BUENAVENTURA VILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
63 MAIN ST, BROCKTON, MA 02301-4042
(508) 559-6699
(508) 559-5073
Mailing address
63 MAIN ST, BROCKTON, MA 02301-4042
(413) 232-0264
(508) 559-5073
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12462
MA
Other
Enumeration date
03/22/2007
Last updated
05/05/2016
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