| Villa Dental | |
|
15717 Paramount Blvd Ste C Paramount CA 90723-4377 | |
| (562) 602-1200 | |
| Not Available |
| Full Name | Villa Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15717 Paramount Blvd Ste C, Paramount, California |
| Authorized Official Name and Position | Hung N Dang (OWNER DENTIST) |
| Authorized Official Contact | 7025015818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Villa Dental 15717 Paramount Blvd Ste C Paramount CA 90723-4377 Ph: (562) 602-1200 | Villa Dental 15717 Paramount Blvd Ste C Paramount CA 90723-4377 Ph: (562) 602-1200 |
| NPI Number | 1477894236 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477894236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45239 (California) | Secondary |
| 261QD0000X | Clinic/center - Dental | () | Primary |
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