Individual
DR. KRISTINA DOISY FANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
304 W BAY AREA BLVD, WEBSTER, TX 77598-4156
(832) 932-5584
Mailing address
3111 ROCK BROOK FALLS LN, LEAGUE CITY, TX 77573-6138
(832) 425-7956
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24266
TX
Other
Enumeration date
03/12/2009
Last updated
01/10/2011
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