Provider Demographics
NPI:1578909537
Name:E. VILLARAMA DENTAL CORP
Entity Type:Organization
Organization Name:E. VILLARAMA DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EMERITO
Authorized Official - Middle Name:YUVIENCO
Authorized Official - Last Name:VILLARAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-773-9400
Mailing Address - Street 1:1835 W ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4405
Mailing Address - Country:US
Mailing Address - Phone:714-773-9400
Mailing Address - Fax:
Practice Address - Street 1:1835 W ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4405
Practice Address - Country:US
Practice Address - Phone:714-773-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2013-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD494261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty