Individual
DR. DAVID M. CHRISTIANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3707 N CANYON RD, SUITE 8D, PROVO, UT 84604-4592
(801) 224-9900
(801) 224-9899
Mailing address
3707 N CANYON RD, SUITE 8D, PROVO, UT 84604-4592
(801) 224-9900
(801) 224-9899
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
92-145582-9921
UT
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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