Provider Demographics
NPI:1164641627
Name:DORAIRAJAN, TRICHINOPOLY AIYASAWMY (DDS)
Entity Type:Individual
Prefix:DR
First Name:TRICHINOPOLY
Middle Name:AIYASAWMY
Last Name:DORAIRAJAN
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 1:8200 WEDNESBURY LANE
Mailing Address - Street 2:SUITE 395
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074
Mailing Address - Country:US
Mailing Address - Phone:713-541-0770
Mailing Address - Fax:713-541-0864
Practice Address - Street 1:8200 WEDNESBURY LANE
Practice Address - Street 2:SUITE 395
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074
Practice Address - Country:US
Practice Address - Phone:713-541-0770
Practice Address - Fax:713-541-0864
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12651122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist