Individual
ROBERT R AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7426 TYLER LN, FONTANA, CA 92336-5431
(909) 518-5010
Mailing address
7426 TYLER LN, FONTANA, CA 92336-5431
(909) 518-5010
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
26819
CA
124Q00000X
Dental Hygienist
Primary
HAP938
CA
Other
Enumeration date
06/10/2022
Last updated
03/23/2023
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