Individual
DR. KRISTA DECOURSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3305 NORTHLAND DR STE 515, AUSTIN, TX 78731-4991
(512) 452-9296
Mailing address
10301 BURNET RD APT 2128, AUSTIN, TX 78758-4594
(920) 450-4463
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36295
TX
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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