Juan Jose Hidalgo Villacorta
Juan Jose Hidalgo Villacorta is a General Practice Dentistry in Van Nuys, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
Practice location Address checks out
14435 Hamlin St Ste 101Van Nuys, CA 91401-6205
Phone: (818) 988-7067
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 104611 (CA) |
|---|
Record details
| NPI number | 1033757570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 16, 2019 |
| Last updated in NPPES | December 16, 2019 |
| Certification date | December 16, 2019 |
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