Provider Demographics
NPI:1316386550
Name:NARANJO, KRISTI LYNNE (DDS)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LYNNE
Last Name:NARANJO
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 1:7950 N STADIUM DR
Mailing Address - Street 2:#175
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4424
Mailing Address - Country:US
Mailing Address - Phone:832-721-6302
Mailing Address - Fax:
Practice Address - Street 1:12052 EAST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1916
Practice Address - Country:US
Practice Address - Phone:832-721-6302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29097122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist