Provider Demographics
NPI:1750455515
Name:ENGSTROM, CHRISTINE FRENCH (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:FRENCH
Last Name:ENGSTROM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1451 E LANSING DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-7785
Mailing Address - Country:US
Mailing Address - Phone:517-332-8877
Mailing Address - Fax:517-332-8848
Practice Address - Street 1:1451 E LANSING DR
Practice Address - Street 2:SUITE 225
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-7785
Practice Address - Country:US
Practice Address - Phone:517-332-8877
Practice Address - Fax:517-332-8848
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010174921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice