Organization
LAKEWOOD PDC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
2535 S LEWIS WAY STE 105, LAKEWOOD, CO 80227-6558
(303) 936-5644
(303) 936-0119
Mailing address
727 E UTAH VALLEY DR, AMERICAN FORK, UT 84003-3345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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