Provider Demographics
NPI:1255577185
Name:AVILES, APRIL ELIZABETH (RDH)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:ELIZABETH
Last Name:AVILES
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2176
Mailing Address - Street 2:
Mailing Address - City:FABENS
Mailing Address - State:TX
Mailing Address - Zip Code:79838-2176
Mailing Address - Country:US
Mailing Address - Phone:915-274-0941
Mailing Address - Fax:
Practice Address - Street 1:608 S. ST. VRAIN
Practice Address - Street 2:CENTRO DE SALUD FAMILIAR LA FE, INC.
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-2176
Practice Address - Country:US
Practice Address - Phone:915-534-7979
Practice Address - Fax:915-534-7601
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11957124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist