Individual
SHAUN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
155 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 466-7424
(208) 466-7512
Mailing address
155 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 466-7424
(208) 466-7512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D 3588
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806452800
—
ID
Enumeration date
09/20/2006
Last updated
12/20/2014
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