Individual
DR. COREY D. CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2205 CHANNING WAY, IDAHO FALLS, ID 83404-8016
(208) 529-3660
(208) 529-3666
Mailing address
3805 HIDDEN HAVEN ST, AMMON, ID 83406-7522
(208) 524-4020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3703
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1482771
UNITED CONCORDIA
ID
01
—
6I310
BLUE CROSS OF IDAHO
ID
05
—
806625301
—
ID
Enumeration date
11/07/2006
Last updated
07/09/2007
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