Provider Demographics
NPI:1285749861
Name:CORREDOR, ADRIANA CRISTINA (DDS)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:CRISTINA
Last Name:CORREDOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4900 WOODWAY DRIVE
Mailing Address - Street 2:SUITE #730
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:718-963-9191
Mailing Address - Fax:713-963-9492
Practice Address - Street 1:4900 WOODWAY DRIVE
Practice Address - Street 2:SUITE #730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:718-963-9191
Practice Address - Fax:713-963-9492
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX189511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice