Provider Demographics
NPI:1316704422
Name:M DENTAL AT ALIANA, PLLC
Entity type:Organization
Organization Name:M DENTAL AT ALIANA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAREDIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-612-2829
Mailing Address - Street 1:10505 W GRAND PKWY S STE 150
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-8708
Mailing Address - Country:US
Mailing Address - Phone:832-612-2829
Mailing Address - Fax:
Practice Address - Street 1:10505 W GRAND PKWY S STE 150
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-8708
Practice Address - Country:US
Practice Address - Phone:832-612-2829
Practice Address - Fax:832-612-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental