Provider Demographics
NPI:1346283058
Name:HUTCHINSON, CHRISTINA LOUISE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LOUISE
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:LOUISE
Other - Last Name:STAHLHEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:512 MAIN STREET, #4
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-3065
Mailing Address - Country:US
Mailing Address - Phone:310-640-2025
Mailing Address - Fax:310-640-2032
Practice Address - Street 1:512 MAIN STREET, #4
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-3065
Practice Address - Country:US
Practice Address - Phone:310-640-2025
Practice Address - Fax:310-640-2032
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA587811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice