Individual
ALEX PIEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2205 W LINCOLN AVE, YAKIMA, WA 98902-2437
(509) 574-3220
Mailing address
1367 S AMBASSADOR WAY, SLC, UT 84108-2860
(206) 535-4416
(206) 535-4416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35948
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
05/27/2020
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