Basic Information
Provider Information
NPI: 1316386949
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VILAR
FirstName: DANA
MiddleName: NOELLE
NamePrefix: DR.
NameSuffix:  
Credential: D.D.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7313 S PLATTE RIVER PKWY UNIT 203
Address2:  
City: LITTLETON
State: CO
PostalCode: 801202955
CountryCode: US
TelephoneNumber: 7637724846
FaxNumber:  
Practice Location
Address1: 3445 SALIDA ST STE 30
Address2:  
City: AURORA
State: CO
PostalCode: 800115000
CountryCode: US
TelephoneNumber: 3033663383
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2013
LastUpdateDate: 06/17/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223G0001X00201995COY Dental ProvidersDentistGeneral Practice

No ID Information.


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