Provider Demographics
NPI:1972748598
Name:TEIXEIRA, CRISTINA MARIA (DMD, MS, PHD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:MARIA
Last Name:TEIXEIRA
Suffix:
Gender:F
Credentials:DMD, MS, PHD
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Mailing Address - Street 1:79 HUDSON ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5638
Mailing Address - Country:US
Mailing Address - Phone:201-714-9800
Mailing Address - Fax:201-714-9807
Practice Address - Street 1:79 HUDSON ST
Practice Address - Street 2:SUITE 400
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5638
Practice Address - Country:US
Practice Address - Phone:201-714-9800
Practice Address - Fax:201-714-9807
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ22DI022852001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics