Individual
KRISTI ANN WUERSTLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
215 CENTER PARK DR STE 900, KNOXVILLE, TN 37922-2176
(865) 966-0500
Mailing address
833 CANTON HOLLOW RD, KNOXVILLE, TN 37934-4102
(240) 818-4708
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8074
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8074
TN RDH LICENSE NUMBER
TN
Enumeration date
02/27/2023
Last updated
02/27/2023
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