# DR. HOMAIRA AVENDANO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1215259700
- **Gender:** F
- **Credential:** D.D.S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 015325 | GA | Yes |
| 122300000X | Dentist | 019027951 | IL | — |
| 122300000X | Dentist | 28333 | TX | — |
| 122300000X | Dentist | 60736 | KS | — |

## Other

- **Enumeration date:** 02/24/2010
- **Last updated:** 07/22/2019