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Individual
DR. LUISA NOEMI RIOS
Active
Individual
DR. LUISA NOEMI RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30010
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30010
TX
208600000X
Surgery Physician
BP10060738
TX
Other
Enumeration date
06/23/2014
Last updated
08/22/2019
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