Provider Demographics
NPI:1043692965
Name:ADAME VILLARREAL, CHRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:ADAME VILLARREAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E PRINCETON DR
Mailing Address - Street 2:SUITE 103B
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-9010
Mailing Address - Country:US
Mailing Address - Phone:972-736-3888
Mailing Address - Fax:
Practice Address - Street 1:501 E PRINCETON DR
Practice Address - Street 2:SUITE 103B
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-9010
Practice Address - Country:US
Practice Address - Phone:972-736-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-27
Last Update Date:2015-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31075122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist