Individual
MR. STEPHEN H CHRISTIANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4801 MCMAHON BLVD NW, #230, ALBUQUERQUE, NM 87114-5090
(505) 792-4788
(505) 792-2533
Mailing address
4801 MCMAHON BLVD NW, #230, ALBUQUERQUE, NM 87114-5090
(505) 792-4788
(505) 792-2533
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DD1889
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q4365
—
NM
Enumeration date
09/09/2005
Last updated
07/08/2007
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