Healthcare Provider Details

I. General information

NPI: 1366967127
Provider Name (Legal Business Name): KRISTIN SAUNDERS DMD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2017
Last Update Date: 08/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8210 FLOYD CURL DR
SAN ANTONIO TX
78229-3923
US

IV. Provider business mailing address

3119 SONORA MESA
SAN ANTONIO TX
78232-6306
US

V. Phone/Fax

Practice location:
  • Phone: 210-450-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number32711
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: