Provider Demographics
NPI:1639117518
Name:VILLALOBOS, ALBERTO (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:VILLALOBOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 N US HIGHWAY 1
Mailing Address - Street 2:SUITE 7
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3228
Mailing Address - Country:US
Mailing Address - Phone:561-744-0677
Mailing Address - Fax:561-743-9067
Practice Address - Street 1:1620 N US HIGHWAY 1
Practice Address - Street 2:SUITE 7
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-3228
Practice Address - Country:US
Practice Address - Phone:561-744-0677
Practice Address - Fax:561-743-9067
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN139951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice