Provider Demographics
NPI:1952500779
Name:VANGUILDER, CHRISTINA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:L
Last Name:VANGUILDER
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 1:230 WENTWORTH AVE E
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-3525
Mailing Address - Country:US
Mailing Address - Phone:651-457-8866
Mailing Address - Fax:
Practice Address - Street 1:5766 BLACKSHIRE PATH
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076-2441
Practice Address - Country:US
Practice Address - Phone:651-457-8666
Practice Address - Fax:651-554-9776
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12401122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist