Individual
MR. DREW JAMES CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDT
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
DT45
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT45
MN
Other
Enumeration date
06/16/2014
Last updated
02/08/2022
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