Organization
CHRISTENSEN,CHRISTENSEN & FREESEMAN,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY WALKER (OFFICE MANAGER)
(319) 234-4486
Entity
Organization
Contact information
Practice address
847 W 4TH ST, WATERLOO, IA 50702-2141
(319) 234-4486
(319) 232-4913
Mailing address
847 W 4TH ST, WATERLOO, IA 50702-2141
(319) 234-4486
(319) 232-4913
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007948
—
IA
01
—
000971058
UNITED CONCORDIA
PA
Enumeration date
07/12/2007
Last updated
02/11/2013
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