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Organization

SAMUEL W. CHRISTENSEN

Active
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Organization

SAMUEL W. CHRISTENSEN

Active
Parent organization
SAMUEL W CHRISTENSEN
Other names
Redwood Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAMUEL W CHRISTENSEN
Authorized official
DR. SAMUEL WESLEY CHRISTENSEN 53776 (DENTIST)
(831) 722-1432
Entity
Organization

Contact information

Practice address
390 S GREEN VALLEY RD STE 5, WATSONVILLE, CA 95076-3077
(831) 722-1432
(831) 722-7861
Mailing address
390 S GREEN VALLEY RD STE 5, WATSONVILLE, CA 95076-3077
(831) 722-1432
(831) 722-7861

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53776
CA

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
About Stedi
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