Provider Demographics
NPI:1922301548
Name:BRINDOS, NATALIE LYNN (RDHAP)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:LYNN
Last Name:BRINDOS
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11200 DONNER PASS RD
Mailing Address - Street 2:NO. 155
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-4847
Mailing Address - Country:US
Mailing Address - Phone:530-587-3696
Mailing Address - Fax:530-587-1997
Practice Address - Street 1:13007 HANSEL AVE
Practice Address - Street 2:
Practice Address - City:TRUCKEE
Practice Address - State:CA
Practice Address - Zip Code:96161-6025
Practice Address - Country:US
Practice Address - Phone:530-263-9708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-21
Last Update Date:2011-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA325124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist