Individual
MRS. AMANDA SUE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
3404 S 2130 E, SALT LAKE CITY, UT 84109-2937
(385) 242-1858
Mailing address
3404 S 2130 E, SALT LAKE CITY, UT 84109-2937
(385) 242-1858
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9408729-9920
UT
Other
Enumeration date
10/04/2015
Last updated
10/04/2015
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