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General NPI Number Information
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NPI Number | 1366308538
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Entity Type | Organization
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Legal Business Name | LENNA AVILES DENTAL LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | CARR 1 INT CARR 172 PLAZA DEL CARMEN MALL SUITE 22
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-745-6220
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Fax |
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Provider Business Mailing Address
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Address Line | 1 AVE PALMA REAL APT 1311
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City | GUAYNABO
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State | PR
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Zip | 00969-7206
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Country | US
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Telephone | 787-810-1332
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LENNA M AVILES PORRATA-DORIA
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Credential | DMD
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Telephone | 787-810-1332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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