Provider Demographics
NPI:1972155869
Name:COSELLI, PARASTOO NATASHA (DMD)
Entity type:Individual
Prefix:DR
First Name:PARASTOO
Middle Name:NATASHA
Last Name:COSELLI
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 1:10211 CANDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-1519
Mailing Address - Country:US
Mailing Address - Phone:832-443-8885
Mailing Address - Fax:
Practice Address - Street 1:5505 W OREM DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77085-1277
Practice Address - Country:US
Practice Address - Phone:713-723-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-11
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX351341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty