| Vivian Villalobos Dds Pa | |
|
4801-07 Bergenline Ave Union City NJ 07087 | |
| (201) 865-6740 | |
| (201) 865-6739 |
| Full Name | Vivian Villalobos Dds Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4801-07 Bergenline Ave, Union City, New Jersey |
| Authorized Official Name and Position | Andrea Inga (OFFICE MANAGER) |
| Authorized Official Contact | 2018656740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Villalobos Dds Pa 4801-07 Bergenline Ave Union City NJ 07087 Ph: (201) 865-6740 | Vivian Villalobos Dds Pa 4801-07 Bergenline Ave Union City NJ 07087 Ph: (201) 865-6740 |
| NPI Number | 1043919863 |
|---|---|
| Provider Enumeration Date | 03/01/2023 |
| Last Update Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043919863 | NPI | - | NPPES |
| 4996500 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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