Provider Demographics
NPI:1467642892
Name:MACHAIN, CRISTINA YOLANDA (DDS)
Entity Type:Individual
Prefix:MS
First Name:CRISTINA
Middle Name:YOLANDA
Last Name:MACHAIN
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 1:5160 VINELAND AVE
Mailing Address - Street 2:#105
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601
Mailing Address - Country:US
Mailing Address - Phone:818-761-8899
Mailing Address - Fax:818-761-8949
Practice Address - Street 1:5160 VINELAND AVE
Practice Address - Street 2:#105
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601
Practice Address - Country:US
Practice Address - Phone:818-761-8899
Practice Address - Fax:818-761-8949
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAD50487122300000X
CA50847122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist