Organization
CHRISTOPHERSON & CALDWELL ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH CHRISTOPHERSON D.D.S., M.S. (PRESIDENT)
(616) 949-7510
Entity
Organization
Contact information
Practice address
3875 BURTON ST SE, GRAND RAPIDS, MI 49546-5816
(616) 949-7510
(616) 949-6051
Mailing address
3875 BURTON ST SE, GRAND RAPIDS, MI 49546-5816
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901011536
MI
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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