Individual
BRENNA IONA CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5625
Mailing address
501 S PRESTON ST, LOUISVILLE, KY 40202-1701
(502) 852-5625
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10340
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2019
Last updated
06/06/2021
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