Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Villalta Dental Corporation

Organization Pediatric Dentistry · NPI 1982317657

Villalta Dental Corporation is a Pediatric Dentistry in Los Angeles, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12555 W Jefferson Blvd Ste 210
Los Angeles, CA 90066-7032
Phone: (707) 228-5974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1982317657
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Villalta — Pediatric Dentist, Owner · (707) 228-5974
Other names The Baby Teeth Studio
NPI enumeratedDecember 27, 2022
Last updated in NPPESDecember 27, 2022
Certification dateDecember 27, 2022
Mailing address12555 W Jefferson Blvd Ste 210, Los Angeles, CA 90066-7032

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