Individual
DR. CHRISTOPHER R MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8012 112TH STREET CT E, SUITE 240, PUYALLUP, WA 98373-7856
(253) 864-0555
(253) 799-9060
Mailing address
8012 112TH STREET CT E, SUITE 240, PUYALLUP, WA 98373-7856
(253) 864-0555
(253) 799-9060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00009664
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5049523
—
WA
Enumeration date
08/10/2006
Last updated
03/14/2012
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