Provider Demographics
NPI:1033346762
Name:SCHWARTZ, CHRISTINE H (RDH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:H
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5911
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-5911
Mailing Address - Country:US
Mailing Address - Phone:970-476-4898
Mailing Address - Fax:
Practice Address - Street 1:2077 N FRONTAGE RD W STE 101
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:CO
Practice Address - Zip Code:81657-4960
Practice Address - Country:US
Practice Address - Phone:970-476-4898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-21
Last Update Date:2009-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO905027124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist