Provider Demographics
NPI:1710973607
Name:KIRCHNER, CHRISTINE LEE (DDS)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LEE
Last Name:KIRCHNER
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 1:6451 FAUNTLEROY WAY SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1881
Mailing Address - Country:US
Mailing Address - Phone:206-938-4540
Mailing Address - Fax:206-935-1188
Practice Address - Street 1:6451 FAUNTLEROY WAY SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1881
Practice Address - Country:US
Practice Address - Phone:206-938-4540
Practice Address - Fax:206-935-1188
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8545122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist