Villalta, Jennifer
Villalta, Jennifer is an sole proprietor health care provider with primary practice located at 12555 W Jefferson Blvd Ste 210 , Los Angeles CA 90066-7032. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Villalta, Jennifer can be contacted via phone (310) 439-1751.Contact Information
Primary practice address
12555 W Jefferson Blvd Ste 210
Los Angeles CA 90066-7032
Phone: (310) 439-1751
Fax: (310) 439-1752
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 104258 | California |
Profile Details
| NPI number | 1952841389 |
|---|---|
| LBN Legal business name | Villalta, Jennifer |
| Credentials | DDS, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 4th, 2017 |
| Last updated | Feb 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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