Individual
DR. LUISA NOEMI RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 828-8445
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
(214) 820-8445
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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