Provider Demographics
NPI:1356579007
Name:RIOS, ALEJANDRO (DDS)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:RIOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3627 COLE AVE #313
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7001 PRESTON RD
Practice Address - Street 2:SUITE 301-A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-1190
Practice Address - Country:US
Practice Address - Phone:214-528-7668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-01
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX260761223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics