Individual
DR. CHARLES JOSEPH AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1027 LINDEN AVE, SUITE C, LONG BEACH, CA 90813-3320
(562) 624-4949
(562) 491-9059
Mailing address
1038 14TH ST, #7, SANTA MONICA, CA 90403-4241
(562) 624-4949
(562) 491-9059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46166
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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