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Individual

BALEA AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDHAP

Contact information

Practice address
800 N IRWIN ST, HANFORD, CA 93230-3848
(559) 212-6758
Mailing address
800 N IRWIN ST, HANFORD, CA 93230-3848
(559) 212-6758

Taxonomy

Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
1162
CA

Other

Enumeration date
07/19/2025
Last updated
01/11/2026
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