Individual
KRISTEN FITZWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 AVONLEA PL APT 303, WOODSTOCK, GA 30189-7139
(713) 391-7102
Mailing address
9000 AVONLEA PL APT 303, WOODSTOCK, GA 30189-7139
(713) 391-7102
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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