Provider Demographics
NPI:1548476625
Name:KLEIN, CHRISTINE MARIE (DMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MARIE
Last Name:KLEIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:M
Other - Last Name:KLEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD PLLC
Mailing Address - Street 1:725 SWIFT BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3541
Mailing Address - Country:US
Mailing Address - Phone:509-943-4242
Mailing Address - Fax:509-946-0462
Practice Address - Street 1:725 SWIFT BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3541
Practice Address - Country:US
Practice Address - Phone:509-943-4242
Practice Address - Fax:509-946-0462
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA5278122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist