Krystal Dawn Declerck, D.D.S. Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Toledo, OH

NPI

1902117807

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

License number

RES.2951 (OH)

Sex

Female

Sole proprietor

No

Enumerated

2010-06-24

Last updated

2010-06-24