Provider Demographics
NPI:1407000474
Name:PINSONNEAULT, KARI ANN (RDH)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:ANN
Last Name:PINSONNEAULT
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:ANN
Other - Last Name:SANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:27991 BUENA VISTA BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS FRESNOS
Mailing Address - State:TX
Mailing Address - Zip Code:78566-4261
Mailing Address - Country:US
Mailing Address - Phone:956-504-7282
Mailing Address - Fax:956-504-7284
Practice Address - Street 1:27991 BUENA VISTA BLVD
Practice Address - Street 2:
Practice Address - City:LOS FRESNOS
Practice Address - State:TX
Practice Address - Zip Code:78566-4261
Practice Address - Country:US
Practice Address - Phone:956-504-7282
Practice Address - Fax:956-504-7284
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNH7371124Q00000X
CO904814124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist