Individual
DR. ALYSSA NICOLE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1331 W LACEY BLVD, HANFORD, CA 93230-5904
(559) 582-2893
Mailing address
1331 W LACEY BLVD, HANFORD, CA 93230-5904
(559) 582-2893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
105616
CA
Other
Enumeration date
09/29/2020
Last updated
02/28/2022
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