JOSE VILLA

CHICAGO, IL
NPI1609942994
Professional NameOMAR CRUZ
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  2019021973)
Enumeration Date2006-11-28
Last Update Date2007-07-08
Business Address
-- JOSE VILLA dds
1426 W BELMONT AVE
CHICAGO, IL 60657-2111
Phone number: 773-528-0068
Mailing Address
-- JOSE VILLA dds
1426 W BELMONT AVE
CHICAGO, IL 60657-2111
Phone number: 773-528-0068
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