Basic Information
Provider Information
NPI: 1013437938
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AULDS
FirstName: KRISTIN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DDS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2708 PEARLAND PKWY STE 220
Address2:  
City: PEARLAND
State: TX
PostalCode: 775815353
CountryCode: US
TelephoneNumber: 2819971943
FaxNumber: 2819975401
Practice Location
Address1: 2708 PEARLAND PARKWAY
Address2: STE 220
City: PEARLAND
State: TX
PostalCode: 77581
CountryCode: US
TelephoneNumber: 2819971943
FaxNumber: 2819975401
Other Information
ProviderEnumerationDate: 06/21/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
122300000X32992TXY Dental ProvidersDentist 

No ID Information.


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