| Organization Name: | JULIA VILLA, D.D.S., INC. |
| NPI Number: | 1720090863 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIA VILLA (PRESIDENT) |
| Mailing Address: | 3431 Broadway St Suite A-7 American Canyon |
| State: | CA US |
| Postal Code: | 945031228 |
| Phone Number: | 7075575057 |
| Fax Number: | 7075574230 |
| NPI Enumeration Date: | 08/13/2006 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 38471 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |