Individual
DR. RICHARD E AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11512 LAKE MEAD AVE UNIT 532, JACKSONVILLE, FL 32256-9733
(904) 683-4781
(904) 683-3914
Mailing address
11512 LAKE MEAD AVE UNIT 532, JACKSONVILLE, FL 32256-9733
(904) 683-4781
(904) 683-3914
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 16648
FL
1223P0300X
Periodontics
DN16648
FL
Other
Enumeration date
01/17/2006
Last updated
09/11/2023
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