Christensen Dental Pllc

NPI #1104099118 in Caldwell, Idaho

Provider Information

NPI Number: 1104099118
Entity Type: Organization
Organization Name: Christensen Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 10, 2008
Last Updated: Apr 10, 2008

Practice Location

Address: 4111 CLOCK TOWER AVE
City: Caldwell
State: Idaho
ZIP Code: 83607-5006
Phone: (208) 455-1816

Authorized Official

Name: DR. LYNDE D CHRISTENSEN, DDS
Title: DENTIST/OWNER
Phone: (208) 455-1816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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