Individual
DR. AL LAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
271 RESERVATION RD, SUITE 101, MARINA, CA 93933-3175
(831) 883-8383
(831) 883-1196
Mailing address
271 RESERVATION RD, SUITE 101, MARINA, CA 93933-3175
(831) 883-8383
(831) 883-1196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38707
CA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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