Provider Demographics
NPI:1558182501
Name:ALDAS, JONATHAN EDUARDO (DDS)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:EDUARDO
Last Name:ALDAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6065 HILLCROFT ST
Mailing Address - Street 2:STE 610 PMB 1015
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081
Mailing Address - Country:US
Mailing Address - Phone:646-580-8308
Mailing Address - Fax:
Practice Address - Street 1:10510 MONTWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2716
Practice Address - Country:US
Practice Address - Phone:915-778-4681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX41064122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist