Manuela Avila, DDS

NPI #1043777501 in Blue Springs, Missouri

Provider Information

NPI Number: 1043777501
Entity Type: Individual
Name: Manuela Avila, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Feb 20, 2019
Last Updated: Feb 20, 2019

Practice Location

Address: 1205 NE CORONADO DR
City: Blue Springs
State: Missouri
ZIP Code: 64014-2928
Phone: (816) 228-4090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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