Individual
KRISTA CAMILLE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3510 MAIN ST, HOUSTON, TX 77002-9567
(346) 815-9997
Mailing address
642 TERRELL DR, SHREVEPORT, LA 71106-5144
(318) 564-8187
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
25340
TX
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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