Provider Demographics
NPI:1750497426
Name:PAOLOSKI, SUSANA B (D D S)
Entity type:Individual
Prefix:DR
First Name:SUSANA
Middle Name:B
Last Name:PAOLOSKI
Suffix:
Gender:F
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:# 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2221
Mailing Address - Country:US
Mailing Address - Phone:713-461-0033
Mailing Address - Fax:713-461-7722
Practice Address - Street 1:908 TOWN AND COUNTRY BLVD
Practice Address - Street 2:# 315
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2221
Practice Address - Country:US
Practice Address - Phone:713-461-0033
Practice Address - Fax:713-461-7722
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94681223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics