Individual
DALE KEITH CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2431 ESTANCIA BLVD BLDG D, CLEARWATER, FL 33761
(727) 796-1716
(727) 799-6964
Mailing address
2431 ESTANCIA BLVD BLDG D, CLEARWATER, FL 33761
(727) 796-1716
(727) 799-6964
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 5451
FL
Other
Enumeration date
09/19/2006
Last updated
07/08/2007
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