Individual
KRISTIN LEE DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1951 STATE ROUTE 59 STE B, KENT, OH 44240-8128
(330) 678-3990
Mailing address
2944 CHAMBERLAIN RD, FAIRLAWN, OH 44333-3476
(330) 875-0775
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30024165
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2013
Last updated
10/13/2017
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