Individual
DR. LYNDE D CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1558 N CRESTMONT DR, SUITE A, MERIDIAN, ID 83642-2192
(208) 887-7622
(208) 887-7689
Mailing address
1558 N CRESTMONT DR, SUITE A, MERIDIAN, ID 83642-2192
(208) 887-7622
(208) 887-7689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3741
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806834200
—
ID
Enumeration date
09/08/2005
Last updated
09/29/2014
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