# ALPINE FAMILY DENTAL CARE P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376099044
- **Authorized official:** TODD S CHRISTENSEN DDS (OWNER/PRESIDENT)
- **Authorized official phone:** (907) 441-4569

## Contact information

- **Practice address:** 363 DEER LANE, ALPINE, WY 83128
- **Practice address phone:** (907) 441-4569
- **Mailing address:** 5018 E 41 N, RIRIE, ID 83443-5038
- **Mailing address phone:** (907) 441-4569

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1444 | WY | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016