Provider Demographics
NPI:1467145821
Name:AVILA LOPEZ, AARON (DMD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:AVILA LOPEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5077 NW 7TH ST APT 1012
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3464
Mailing Address - Country:US
Mailing Address - Phone:619-940-8370
Mailing Address - Fax:
Practice Address - Street 1:5077 NW 7TH ST APT 1012
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-3464
Practice Address - Country:US
Practice Address - Phone:619-940-8370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL308011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice