Individual
DR. DAIRA M. AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4039 13TH ST, SAINT CLOUD, FL 34769-6772
(407) 892-1643
Mailing address
8868 NW 108TH LN, HIALEAH GARDENS, FL 33018-4525
(786) 252-5995
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 19318
FL
Other
Enumeration date
06/17/2011
Last updated
02/10/2015
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