Provider Demographics
NPI:1932404027
Name:AGUILAR, LIZA M (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIZA
Middle Name:M
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22324 CALIBRE CT APT 807
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5568
Mailing Address - Country:US
Mailing Address - Phone:787-909-0379
Mailing Address - Fax:
Practice Address - Street 1:6370 N STATE ROAD 7 STE 115
Practice Address - Street 2:
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073-3614
Practice Address - Country:US
Practice Address - Phone:954-866-4223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL192241223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry