| Doctor Name: | ALEX RYAN GRIEGO |
| NPI Number: | 1124167150 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | D008995 |
| Business Practice Address: | 10750 W Mcdowell Rd Ste F610 Avondale, AZ - 853925976 |
| Business Phone Number: | 6234742900 |
| Business Fax Number: | |
| Mailing Address: | 310 S 4th St Unit 904, PHOENIX |
| State: | AZ |
| Postal Code: | 850042471 |
| Phone Number: | 5054808033 |
| Fax Number: | |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 09/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | D008995 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |