| NPI | 1801406434 |
|---|---|
| Other Name | SOCO DENTAL ANESTHESIA |
| Other Name | SOUTHERN COLORADO DENTAL ANESTHESIA |
| Doing Business As | VILLALON ANESTHESIOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES KELLAN VILLALON Dentist Anesthesiologist/Owner 719-286-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-09-11 |