Individual
DR. BRAD RICHARD CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1149 S 450 W, SUITE 105, BRIGHAM CITY, UT 84302-6707
(502) 681-7115
Mailing address
5880 CASSIE DR, SOUTH OGDEN, UT 84405-4812
(502) 681-7115
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7999868-9922
UT
1223E0200X
Endodontics
8787
KY
Other
Enumeration date
06/20/2009
Last updated
08/01/2011
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