Individual
DR. CHRISTOPHER LEE KELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
10497 W GARVERDALE CT, #103, BOISE, ID 83704-5407
(208) 378-1300
Mailing address
10497 W GARVERDALE CT, #103, BOISE, ID 83704-5407
(208) 378-1300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21678
ID
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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