Individual
IRIANA ELEN AVILAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 CORPORAL EVANS RD, MONTEREY, CA 93944-3403
(831) 242-5612
Mailing address
423 CORPORAL EVANS RD, MONTEREY, CA 93944-3403
(831) 242-5612
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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