Individual
BRIAN CHRISTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8074 OLD CARRIAGE CT, SHAKOPEE, MN 55379-3156
(952) 746-0808
Mailing address
1105 NORTHERN VALLEY DR NE, ROCHESTER, MN 55906-8326
(507) 398-3921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14411
MN
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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