Provider Demographics
NPI:1063546653
Name:ALDO SORDELLI DDS, MSD, PA
Entity type:Organization
Organization Name:ALDO SORDELLI DDS, MSD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:
Authorized Official - Last Name:SORDELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:281-759-2929
Mailing Address - Street 1:1035 DAIRY ASHFORD ST
Mailing Address - Street 2:#234
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4608
Mailing Address - Country:US
Mailing Address - Phone:281-759-2929
Mailing Address - Fax:281-759-0907
Practice Address - Street 1:1035 DAIRY ASHFORD ST
Practice Address - Street 2:#234
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4608
Practice Address - Country:US
Practice Address - Phone:281-759-2929
Practice Address - Fax:281-759-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental