MEDICARE: DR. PARASTOO NATASHA COSELLI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	35134	TX

General Provider Information

NPI Number	:	1972155869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PARASTOO NATASHA COSELLI DMD

Provider Business Mailing Address
First Line	:	10211 CANDLEWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1519
Country	:	US
Telephone Number	:	832-443-8885
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 W OREM DR STE 200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-1277
Country	:	US
Telephone Number	:	713-723-9200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2019
Last Update Date	:	02/09/2024

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