Individual
DR. JENNIFER VILLALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
12555 W JEFFERSON BLVD STE 210, LOS ANGELES, CA 90066-7032
(310) 439-1751
(310) 439-1752
Mailing address
12555 W JEFFERSON BLVD STE 210, LOS ANGELES, CA 90066-7032
(310) 439-1751
(310) 439-1752
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104258
CA
Other
Enumeration date
03/04/2017
Last updated
02/21/2024
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