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Organization
INDIAN HILLS DENTAL, AVILA DENTAL CORPORATION
Active
Organization
INDIAN HILLS DENTAL, AVILA DENTAL CORPORATION
Active
Other names
Indian Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ANNETTE AVILA DDS (DENTIST)
(951) 361-0443
Entity
Organization
Contact information
Practice address
8300 LIMONITE AVE STE C, RIVERSIDE, CA 92509-5174
(951) 361-0443
Mailing address
8300 LIMONITE AVE STE C, RIVERSIDE, CA 92509-5174
(951) 361-0443
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49460
CA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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