Provider Demographics
NPI:1003162322
Name:MUNS, CHRISTINE AMANDA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:AMANDA
Last Name:MUNS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3225 TURTLE CREEK BLVD
Mailing Address - Street 2:#1137B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-5409
Mailing Address - Country:US
Mailing Address - Phone:940-626-0980
Mailing Address - Fax:
Practice Address - Street 1:5057 KELLER SPRINGS RD
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6231
Practice Address - Country:US
Practice Address - Phone:214-522-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2012-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice