Provider Demographics
NPI:1992478267
Name:MIKHAIL, CHRISTINA MAGDI (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MAGDI
Last Name:MIKHAIL
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 1:11965 MENLO AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3153
Mailing Address - Country:US
Mailing Address - Phone:310-954-6087
Mailing Address - Fax:
Practice Address - Street 1:11965 MENLO AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-3153
Practice Address - Country:US
Practice Address - Phone:310-954-6087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-31
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106761122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist