Individual provider · NPI-1
Balea Avila, RDHAP
Advanced Practice Dental Therapist · Hanford, CA
NPI number1003708397
StatusActive
Last updated in NPPESJan 11, 2026
Details
- NPI
- 1003708397
- Entity type
- Individual (NPI-1)
- Name
- Balea Avila
- Credential
- RDHAP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2025
- Certification date
- Jan 11, 2026
- Last updated
- Jan 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 125K00000X | Advanced Practice Dental Therapist | 1162 | CA | Yes |
Practice location
800 N Irwin StHanford, CA 93230-3848
Phone 559-212-6758
Mailing address
800 N Irwin StHanford, CA 93230-3848
Phone 559-212-6758
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.