Provider Demographics
NPI:1073832788
Name:DINERO-CLAVERIA, CHRISTINE LYNN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:LYNN
Last Name:DINERO-CLAVERIA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22240 S ELLSWORTH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-8478
Mailing Address - Country:US
Mailing Address - Phone:480-987-9220
Mailing Address - Fax:480-987-0502
Practice Address - Street 1:22240 S ELLSWORTH RD
Practice Address - Street 2:SUITE 102
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-8478
Practice Address - Country:US
Practice Address - Phone:480-987-9220
Practice Address - Fax:480-987-0502
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ33351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ086480OtherARIZONA HEALTH CARE COST CONTAINMENT SYSTEM