NPI | 1619010386 |
---|---|
Other Name | RICK VILLARREAL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 18069) |
Additional Taxonomies | 122300000X Dentist (Licence: TX 18069) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2012-09-05 |