Individual provider · Type 1 NPI

Jennifer Villalta, DDS, MPH

Pediatric Dentistry · Los Angeles, CA

NPI number 1952841389 Active

Practice location

12555 W Jefferson Blvd Ste 210
Los Angeles, CA 90066-7032

Call (310) 439-1751 Map

Fax (310) 439-1752

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X104258 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1952841389

Jennifer Villalta, DDS, MPH's National Provider Identifier is 1952841389, issued on Mar 4, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 21, 2024.