| Organization Name: | ALEJANDRA VILLADA, DDS CORP. |
| NPI Number: | 1972742468 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEJANDRA VILLADA (OWNER) |
| Mailing Address: | 8939 Woodman Ave Ste 1 Arleta |
| State: | CA US |
| Postal Code: | 913318007 |
| Phone Number: | 8189202215 |
| Fax Number: | 8189200180 |
| NPI Enumeration Date: | 02/06/2009 |
| NPI Last Update Date: | 03/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 56105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |