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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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