Organization
EAST VALLEY DENTAL ANESTHESIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN TODD CHRISTENSEN DMD (OWNER/OPERATOR)
(480) 518-5502
Entity
Organization
Contact information
Practice address
67 S HIGLEY RD, SUITE 103, GILBERT, AZ 85296-1166
(480) 518-5502
(480) 219-9234
Mailing address
67 S HIGLEY RD, SUITE 103, GILBERT, AZ 85296-1166
(480) 518-5502
(480) 219-9234
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
5604
AZ
Other
Enumeration date
08/19/2014
Last updated
08/19/2014
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