Individual
KIRK H CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
226 W JUDD ST, WOODSTOCK, IL 60098-3158
(815) 337-5522
Mailing address
388 HILLCREST DR, FONTANA, WI 53125-1248
(815) 621-6027
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
IL
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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