Individual
KRISTANYA HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6985 E FOWLER AVE, TEMPLE TERRACE, FL 33617-1714
(813) 988-9800
(813) 988-9300
Mailing address
6985 E FOWLER AVE, TEMPLE TERRACE, FL 33617-1714
(813) 988-9800
(813) 988-9300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18394
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001142600
—
FL
05
—
019027189
—
IL
Enumeration date
10/31/2006
Last updated
01/20/2013
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