Provider Demographics
NPI:1972051654
Name:ALLALA, CRISTINA (DDS)
Entity type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:
Last Name:ALLALA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2707 COLE AVE
Mailing Address - Street 2:APT 424
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-1006
Mailing Address - Country:US
Mailing Address - Phone:956-407-9045
Mailing Address - Fax:
Practice Address - Street 1:2707 COLE AVE
Practice Address - Street 2:APT 424
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-1006
Practice Address - Country:US
Practice Address - Phone:956-407-9045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX323961223S0112X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223G0001XDental ProvidersDentistGeneral Practice