Provider Demographics
NPI:1235221516
Name:ROTHWANGL, CHRISTIANE M (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIANE
Middle Name:M
Last Name:ROTHWANGL
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 1:174 STATE ROUTE 101 UNIT 1
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5417
Mailing Address - Country:US
Mailing Address - Phone:603-472-5733
Mailing Address - Fax:
Practice Address - Street 1:174 STATE RTE 101
Practice Address - Street 2:#1
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110
Practice Address - Country:US
Practice Address - Phone:603-472-5733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH31281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice