Provider Demographics
NPI:1033291729
Name:DUNHAM, CHRISTINE LIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LIN
Last Name:DUNHAM
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 1:104 PRAIRIE DR
Mailing Address - Street 2:
Mailing Address - City:MINOOKA
Mailing Address - State:IL
Mailing Address - Zip Code:60447-9490
Mailing Address - Country:US
Mailing Address - Phone:815-467-6851
Mailing Address - Fax:815-744-4363
Practice Address - Street 1:4130 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60431-4720
Practice Address - Country:US
Practice Address - Phone:815-744-4333
Practice Address - Fax:815-744-4363
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist