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Organization
CHRISTENSEN DENTAL PLLC
Active
Organization
CHRISTENSEN DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNDE D CHRISTENSEN DDS (DENTIST/OWNER)
(208) 455-1816
Entity
Organization
Contact information
Practice address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 455-1816
(208) 459-1446
Mailing address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 455-1816
(208) 459-1446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3741
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6K588
BLUE CROSS
ID
Enumeration date
04/10/2008
Last updated
04/10/2008
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