| NPI | 1366215642 |
|---|---|
| Doing Business As | AMADA CYNTHIA AVILA |
| Entity Type | Organization |
| Authorized Contact | AMADA CYNTHIA AVILA Dentist 619-748-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |