Organization
SHAUN CHRISTENSEN, DMD, PC
Active
Other names
Middle Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN CHRISTENSEN DMD (OWNER / DENTIST)
(208) 466-7424
Entity
Organization
Contact information
Practice address
155 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 466-7424
(208) 466-7512
Mailing address
155 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 466-7424
(208) 466-7512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3588
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806452800
—
ID
Enumeration date
08/18/2006
Last updated
09/20/2019
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