Individual
DR. KRYSTAL R. BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7451 N BEACH ST STE 140, FORT WORTH, TX 76137-5160
(716) 335-6060
Mailing address
7451 N BEACH ST STE 140, FORT WORTH, TX 76137-5160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
38775
TX
1223P0221X
Pediatric Dentistry
Primary
38775
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2020
Last updated
07/28/2022
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