Individual
KRYSTLE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
110 E 40TH ST RM 104, NEW YORK, NY 10016-1819
(212) 682-2965
Mailing address
1130 S MICHIGAN AVE APT 302, CHICAGO, IL 60605-2316
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
059070
NY
Other
Enumeration date
06/21/2017
Last updated
06/26/2019
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