Individual
MR. MICHAEL W CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
114 E 12450 S, SUITE 200, DRAPER, UT 84020
(801) 495-1610
(801) 210-2059
Mailing address
PO BOX 830, DRAPER, UT 84020
(801) 495-1610
(801) 210-2059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6317
OK
1223P0221X
Pediatric Dentistry
Primary
9689798
UT
Other
Enumeration date
07/20/2011
Last updated
08/14/2018
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