Provider Demographics
NPI:1518198753
Name:DORSAINVILLE, NATALIE E (DMD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:E
Last Name:DORSAINVILLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:E
Other - Last Name:DORSAINVILLE-DIANGANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:6006 BRISTLECONE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6243
Mailing Address - Country:US
Mailing Address - Phone:954-504-0916
Mailing Address - Fax:
Practice Address - Street 1:1849 PEARLAND PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5343
Practice Address - Country:US
Practice Address - Phone:855-675-2682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-05
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25198122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist