Provider Demographics
NPI:1407556137
Name:GABRA, CHRISTINE GEORGE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:GEORGE
Last Name:GABRA
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 1:11 CELESTINE TER
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-3320
Mailing Address - Country:US
Mailing Address - Phone:929-215-4224
Mailing Address - Fax:
Practice Address - Street 1:67 MONTVALE AVE STE 101
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3618
Practice Address - Country:US
Practice Address - Phone:781-279-2400
Practice Address - Fax:781-279-4640
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1859972122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist