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DR. JOSE M AVILA DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1760419089

Individual Registrant:
DR. JOSE M AVILA DMD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
41324 US HIGHWAY 19 N  TARPON SPRINGS, FL 34689-5111 US
Tel: 727-942-4144  Fax: --

Contact information for business:
8806 SHELDON CHASE DR  TAMPA, FL 33635-1089 US
Tel: 813-767-8218  Fax: --

Registration Information:
NPI: 1760419089
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FLDN17206

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS FL - Page 1



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