Provider Demographics
NPI:1720256746
Name:STRICKLER, CHRISTINA GABRIEL (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:GABRIEL
Last Name:STRICKLER
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 1:143 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BENTON HARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:49022-4409
Mailing Address - Country:US
Mailing Address - Phone:269-927-1313
Mailing Address - Fax:
Practice Address - Street 1:143 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BENTON HARBOR
Practice Address - State:MI
Practice Address - Zip Code:49022-4409
Practice Address - Country:US
Practice Address - Phone:269-927-1313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901019491122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist