Provider Demographics
NPI:1942936505
Name:SERENITY ADVANCED DENTISTRY
Entity Type:Organization
Organization Name:SERENITY ADVANCED DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLALA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-634-1434
Mailing Address - Street 1:605 E BELT LINE RD # 101
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2256
Mailing Address - Country:US
Mailing Address - Phone:972-634-1434
Mailing Address - Fax:214-935-5669
Practice Address - Street 1:605 E BELT LINE RD # 101
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2256
Practice Address - Country:US
Practice Address - Phone:972-634-1434
Practice Address - Fax:214-935-5669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental