MICHAEL DAVID VILLA

FLUSHING, NY
NPI1669204665
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: NY  064134)
Additional Taxonomies124Q00000X Dental Hygienist
(Licence: NY  027079)
1223P0300X Dentist, Periodontics
(Licence: NJ  22DI03015600)
Enumeration Date2024-08-17
Last Update Date2024-08-19
Business Address
Dr. MICHAEL DAVID VILLA DDS
15406 JEWEL AVE APT 3C
FLUSHING, NY 11367-1846
Phone number: 347-552-6661
Mailing Address
Dr. MICHAEL DAVID VILLA DDS
15406 JEWEL AVE APT 3C
FLUSHING, NY 11367-1846
Phone number: