Search › Illinois › 122300000X
Leonor Villalta, DDS
NPI 1700034089 · on the registry since 2008
Practice
- Address
- 2547 W Springfield Ave Apt 2
Champaign, IL 61821 - Phone
- (217) 552-8503
- Organisation at this address
- Beautiful Smiles Mobile Dentistry, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois