Individual
GARY WAYNE CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
348 2ND ST, SUITE 200, EXCELSIOR, MN 55331-1830
(952) 474-6515
(952) 474-1206
Mailing address
348 2ND ST, SUITE 200, EXCELSIOR, MN 55331-1830
(952) 474-6515
(952) 474-1206
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8958
MN
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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