Individual
DR. GORDON J CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3707 N CANYON RD, SUITE 3A, PROVO, UT 84604-4592
(801) 226-5315
(801) 226-8637
Mailing address
3707 N CANYON RD, SUITE 3A, PROVO, UT 84604-4592
(801) 226-5315
(801) 226-8637
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
137010-9921
UT
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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