Individual
DR. KIRSTEN CECELIA TRANDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4213 KACHINA DR, AUSTIN, TX 78735-6013
(631) 544-6449
Mailing address
4213 KACHINA DR, AUSTIN, TX 78735-6013
(631) 544-6449
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25527
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
25527
TX
Other
Enumeration date
11/03/2008
Last updated
01/08/2021
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