| NPI | 1699181578 |
|---|---|
| Doing Business As | VILLA DENTAL |
| Entity Type | Organization |
| Authorized Contact | EMANUEL J STAES Owner 504-810-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 28289) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2015-02-04 |