| NPI | 1821567660 |
|---|---|
| Former Legal Business Name | KARLA J VILLEGAS |
| Entity Type | Organization |
| Authorized Contact | KARLA J VILLEGAS Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2018-11-22 |