Individual
DR. ADRIENNE ARCHIDIACONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
311 S FM 1187 STE 300, ALEDO, TX 76008-6452
(817) 406-2025
(817) 406-2055
Mailing address
311 S FM 1187 STE 300, ALEDO, TX 76008-6452
(817) 406-2025
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27411
TX
Other
Enumeration date
09/08/2011
Last updated
07/21/2023
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