Provider Demographics
NPI:1316069677
Name:PACE, CHRISTINA LYNNE (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:LYNNE
Last Name:PACE
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 1:1729 PASEO SAN LUIS
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-4611
Mailing Address - Country:US
Mailing Address - Phone:520-458-2520
Mailing Address - Fax:520-459-7877
Practice Address - Street 1:1729 PASEO SAN LUIS
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-4611
Practice Address - Country:US
Practice Address - Phone:520-458-2520
Practice Address - Fax:520-459-7877
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2012-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6785122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist