Provider Demographics
NPI:1801209044
Name:PIERATOS, NATALIA (DMD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:
Last Name:PIERATOS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 PETRA DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-5743
Mailing Address - Country:US
Mailing Address - Phone:201-686-9140
Mailing Address - Fax:
Practice Address - Street 1:7084 LAKELAND HILLS WAY SE STE 104
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092-8439
Practice Address - Country:US
Practice Address - Phone:253-329-5083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-05
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60830347122300000X
NY058080122300000X
CADDS109693122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist