Organization
CHRISTOPHER TRAXTER, A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER TRAXTER (OWNER)
(602) 363-5534
Entity
Organization
Contact information
Practice address
761 GARDEN VIEW CT, SUITE 102, ENCINITAS, CA 92024
(760) 944-7844
Mailing address
761 GARDEN VIEW CT, SUITE 102, ENCINITAS, CA 92024
(760) 944-7844
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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