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NPI Code Detail

MEDICARE: YURIDIA MICHELLE AVALOS DDS

MEDICARE:   YURIDIA MICHELLE AVALOS  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry108671CA

General Provider Information

NPI Number : 1932924149
Entity Type Code : Individual
Provider Name (Legal Business Name) : YURIDIA MICHELLE AVALOS DDS
Provider Business Mailing Address
First Line : MARINERO NO. 47
Second Line :
City : YURIRIA
State : GUANAJUATO
Zip : 38940
Country : MX
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3755 MURPHY CANYON RD STE D
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-4412
Country : US
Telephone Number : 858-331-1160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2024
Last Update Date : 11/21/2024

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Directions to “ YURIDIA MICHELLE AVALOS DDS” Practice Location

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