Individual
DR. MARCIANO E AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4100 AVE ARCADIO ESTRADA, STE 110 SAN SEBASTIAN OFFICE BUILDING, SAN SEBASTIAN, PR 00685-3216
(787) 896-1265
(787) 280-0171
Mailing address
PO BOX 201, SAN SEBASTIAN, PR 00685-0201
(787) 896-1265
(787) 280-0171
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
428
PR
Other
Enumeration date
09/06/2005
Last updated
12/03/2012
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