Angela Avila DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

49460 Issued in CA

Legal business name

ANGELA AVILA DDS INC

Practice address

3591 Hamner Ave Ste D
Norco, CA 92860-1376

Phone

(951) 416-8711

NPI assigned

May 3, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Annette Avila, DDS

Title

Dentist

Phone

(951) 416-8711

Specialties & licenses 1

Addresses

Other names 1

• Horse Town Dental and Orthodontics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1154810281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3591 HAMNER AVE STE D",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601376",
            "telephone_number": "951-416-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3591 HAMNER AVE STE D",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928601376",
            "telephone_number": "951-416-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA AVILA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-416-8711",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horse Town Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Norco, CA
• Providers in Norco, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.