Individual
DR. ALLEN MOYLE CHRISTENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3550 HARRISON BLVD, STE.1, OGDEN, UT 84403-2081
(801) 627-1221
Mailing address
3550 HARRISON BLVD, STE.1, OGDEN, UT 84403-2081
(801) 627-1221
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
135190-9923
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
597790
TRICARE
—
Enumeration date
05/23/2006
Last updated
07/08/2007
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