Villarreal, Demitri
Villarreal, Demitri is an individual health care provider with primary practice located at 2133 Pepperrell St , Lackland Afb TX 78236-5313. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Villarreal, Demitri can be contacted via phone (210) 292-2558.Contact Information
Primary practice address
2133 Pepperrell St
Lackland Afb TX 78236-5313
Phone: (210) 292-2558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | A000986496 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 23464 | Texas |
| Dental Providers / Periodontics | 1223P0300X | S4-97C | Nevada |
Profile Details
| NPI number | 1588865943 |
|---|---|
| LBN Legal business name | Villarreal, Demitri |
| Credentials | D.D.S.; M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Apr 30th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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