Provider Demographics
NPI:1689874075
Name:IGNA, CHRISTI LYNN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTI
Middle Name:LYNN
Last Name:IGNA
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 1:1005 HERMOSA AVE
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-3717
Mailing Address - Country:US
Mailing Address - Phone:310-372-2853
Mailing Address - Fax:310-372-9373
Practice Address - Street 1:1005 HERMOSA AVE
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-3717
Practice Address - Country:US
Practice Address - Phone:310-372-2853
Practice Address - Fax:310-372-9373
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44704122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist