Individual provider · Type 1 NPI
Lizeth Avila
Dental Clinic/Center · San Luis Rio Colorado, MX
NPI number
1386586204
Active
Practice location
Av Carlos G Calles 3607, Burocrata
San Luis Rio Colorado, MX 83450
Mailing address
3554 Sunset Ln Unit 32
San Ysidro, CA 92173-4506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1386586204
Lizeth Avila's National Provider Identifier is 1386586204, issued on Apr 8, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in San Luis Rio Colorado, MX. The record was last updated on Apr 8, 2026.