Individual
DR. GUILLERMO ENRIQUE AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
103 CALLE DEGETAU S, APT 3, AIBONITO, PR 00705-1557
(787) 735-7136
(787) 735-7136
Mailing address
103 CALLE DEGETAU S, P.O BOX 1557, AIBONITO, PR 00705-3621
(787) 735-7136
(787) 735-7136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1181
PR
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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