Gordon J. Christensen DDS PHD PC

NPI #1841654126 in Provo, Utah

Provider Information

NPI Number: 1841654126
Entity Type: Organization
Organization Name: Gordon J. Christensen DDS PHD PC
Primary Specialty: Dentist - Prosthodontics
Enumeration Date: Apr 12, 2016
Last Updated: Apr 12, 2016

Practice Location

Address: 3707 N CANYON RD
Address 2: SUITE 4
City: Provo
State: Utah
ZIP Code: 84604-4592
Phone: (801) 226-5315

Authorized Official

Name: MRS. MISTY GAYLE WILSON, RDH
Title: OFFICE MANAGER
Phone: (801) 226-5315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Prosthodontics — Prosthodontics	1223P0700X	Primary

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