Individual
MARIE ROSA AVILES AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
TOA ALTA HEIGHTS MINI MALL, AVE. PRINCIPAL BLQ. M1-D, TOA ALTA, PR 00953-0897
(787) 797-0550
(787) 799-2110
Mailing address
PO BOX 897, BAYAMON, PR 00960-0897
(787) 797-0550
(787) 799-2100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1886
PR
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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