Organization
INDIAN HILLS DENTAL, AVILA DENTAL CORPORATION
Active
Other names
Indian Hills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA ANNETTE AVILA DDS (DENTIST)
(951) 361-0443
Entity
Organization
Contact information
Practice address
8300 LIMONITE AVE STE C, RIVERSIDE, CA 92509-5174
(951) 361-0443
Mailing address
8300 LIMONITE AVE STE C, RIVERSIDE, CA 92509-5174
(951) 361-0443
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49460
CA
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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