Individual
DR. EDUARDO A AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.P.H.
Contact information
Practice address
11400 ROCKVILLE PIKE STE 805, ROCKVILLE, MD 20852-3054
(301) 770-3922
(301) 770-5105
Mailing address
11400 ROCKVILLE PIKE STE 805, ROCKVILLE, MD 20852-3054
(301) 770-3922
(301) 770-5105
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1000783
DC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D16128
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
MD13796
MD
Other
Enumeration date
06/17/2005
Last updated
11/05/2013
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