SearchCaliforniaPediatric Dentistry

Jennifer Villalta, DDS, MPH

NPI 1952841389 · on the registry since 2017 · sole proprietor

Practice

Address
12555 W Jefferson Blvd Ste 210
Los Angeles, CA 90066
Phone
(310) 439-1751
Fax
(310) 439-1752
Organisation at this address
Socal Skin And Surgery
Villalta Dental Corporation
Stepanek And Stepanek Dental Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-21

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 California