Individual
CORY RICHARD CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5677 HWY 95, FORT MOJAVE, AZ 86426-6049
(928) 788-0052
(928) 788-0053
Mailing address
5677 HWY 95, FORT MOJAVE, AZ 86426-6049
(928) 788-0052
(928) 788-0053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AZ4289
AZ
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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