Individual
DR. DIANA CAMILA AVILA PAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 NE CUTOFF STE 200, WORCESTER, MA 01606-1224
(508) 854-2122
Mailing address
423 BROOKLINE AVE STE 145, BOSTON, MA 02215-5410
(312) 714-6044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNL100059
MA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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