| Doctor Name: | SERGIO RICARDO AGUILAR |
| NPI Number: | 1467566257 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | 36881 |
| Business Practice Address: | 520 N Main Street Suite 120 Santa Ana, CA - 927014623 |
| Business Phone Number: | 7148354057 |
| Business Fax Number: | 7148354058 |
| Mailing Address: | 520 N Main Street, Suite 120 SANTA ANA |
| State: | CA |
| Postal Code: | 927014623 |
| Phone Number: | 7148354057 |
| Fax Number: | 7148354058 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 36881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |