Organization
CHRISTOPHERSON FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER CHRISTOPHERSON DDS (OWNER/DENTIST)
(715) 344-9684
Entity
Organization
Contact information
Practice address
2901 CHURCH ST, STEVENS POINT, WI 54481-5210
(715) 344-9684
(715) 344-1684
Mailing address
2901 CHURCH ST, STEVENS POINT, WI 54481-5210
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6947-015
WI
Other
Enumeration date
04/09/2016
Last updated
04/09/2016
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