Individual
MS. LAURA M. CHRISTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
OFF HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007139
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
846785
—
AZ
Enumeration date
04/12/2007
Last updated
07/09/2007
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