Individual
CANDACE LEE KRETSCHMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
912 BOYD RD, AZLE, TX 76020-2516
(817) 444-1763
Mailing address
461 RAYNER AVE, FORT WORTH, TX 76111-1624
(281) 701-2940
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
38781
TX
Other
Enumeration date
07/13/2022
Last updated
07/30/2024
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