Individual
ALEX RYAN GRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10750 W MCDOWELL RD STE F610, AVONDALE, AZ 85392-5976
(623) 474-2900
Mailing address
310 S 4TH ST UNIT 904, PHOENIX, AZ 85004-2471
(505) 480-8033
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D008995
AZ
Other
Enumeration date
02/06/2007
Last updated
09/16/2014
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