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1518148220
MYLA MARIE VILLANUEVA
ELK GROVE, CA
NPI
1518148220
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 43405)
Enumeration Date
2007-11-21
Last Update Date
2007-11-21
Business Address
Dr. MYLA MARIE VILLANUEVA D.M.D.
6728 SAO TIAGO WAY
ELK GROVE, CA 95757-3435
Phone number: 916-759-0166
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Mailing Address
Dr. MYLA MARIE VILLANUEVA D.M.D.
PO BOX 2410
ELK GROVE, CA 95759-2410
Phone number: 916-759-0165
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