Individual
DR. DAVID MAYO CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
7111 NW 86TH ST, KANSAS CITY, MO 64153-2326
(816) 741-1155
Mailing address
7111 NW 86TH ST, KANSAS CITY, MO 64153-2326
(816) 741-1155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4475
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2008035682
MO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
700
SC
Other
Enumeration date
09/03/2008
Last updated
04/19/2011
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