Individual
MR. EDUARDO AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3110 TRAWOOD DR, SUITE D, EL PASO, TX 79936-4394
(915) 855-1000
Mailing address
PO BOX 2176, FABENS, TX 79838-2176
(915) 855-1000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11478
TX
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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