Individual
DR. GAVIN COTANT CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
Mailing address
2648 E GERONIMO ST, GILBERT, AZ 85295-1210
(480) 239-3757
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
9838133-9923
UT
1223P0221X
Pediatric Dentistry
Primary
D7726
AZ
Other
Enumeration date
03/19/2008
Last updated
05/04/2023
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