Organization
EDWARD A. CHRISTENSEN, D.D.S, P.C.
Active
Other names
Foothills Pediatric Dentistry, P.C., Foothills Pediatric Dentistry, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBER BARNEY (OFFICE MANAGER)
(303) 604-9500
Entity
Organization
Contact information
Practice address
916 S MAIN ST UNIT 302, LONGMONT, CO 80501-6672
(303) 702-9501
(303) 532-2275
Mailing address
916 S. MAIN STREET, #302, LONGMONT, CO 80501
(303) 702-9501
(303) 532-2275
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06439063
—
CO
Enumeration date
08/06/2007
Last updated
07/21/2022
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