Individual
KRISTEN R. POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5720 WINDMERE LN, HALTOM CITY, TX 76137-2666
(817) 975-9446
(817) 887-1705
Mailing address
5720 WINDMERE LN, HALTOM CITY, TX 76137-2666
(817) 975-9446
(817) 887-1705
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
03689
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE ISSUED
NONE ISSUED
TX
Enumeration date
05/27/2012
Last updated
05/27/2012
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