JOHN R. AVILA

LA PORTE, IN
NPI1952423840
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12009519)
Enumeration Date2007-04-04
Last Update Date2021-03-08
Business Address
Dr. JOHN R. AVILA D.D.S.
400 TEEGARDEN ST
LA PORTE, IN 46350-3175
Phone number: 219-326-0043
Mailing Address
Dr. JOHN R. AVILA D.D.S.
2344 CYNTHIA DR
MICHIGAN CITY, IN 46360-9361
Phone number: 219-477-6082
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