Individual
ERIC KRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1135 VITALITY DR STE 130, HENDERSON, NV 89011-4809
(702) 359-7401
Mailing address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(734) 904-3930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8056
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2024
Last updated
07/27/2024
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