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Organization
GORDON J. CHRISTENSEN DDS PHD PC
Active
Organization
GORDON J. CHRISTENSEN DDS PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY GAYLE WILSON RDH (OFFICE MANAGER)
(801) 226-5315
Entity
Organization
Contact information
Practice address
3707 N CANYON RD, SUITE 4, PROVO, UT 84604-4592
(801) 226-5315
(801) 655-1950
Mailing address
3707 N CANYON RD STE 4, PROVO, UT 84604-4587
(801) 226-5315
(801) 655-1950
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
137010
UT
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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