Provider Demographics
NPI:1841520020
Name:LALAS, MARIA VILA U (DMD)
Entity type:Individual
Prefix:
First Name:MARIA VILA
Middle Name:U
Last Name:LALAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3072 LANDESS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132
Mailing Address - Country:US
Mailing Address - Phone:408-719-8500
Mailing Address - Fax:408-719-8385
Practice Address - Street 1:3072 LANDESS AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132
Practice Address - Country:US
Practice Address - Phone:408-719-8500
Practice Address - Fax:408-719-8385
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-11
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA569731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice