| Christensen Dental Pllc | |
|
4111 Clock Tower Ave Caldwell ID 83607-5006 | |
| (208) 455-1816 | |
| (208) 459-1446 |
| Full Name | Christensen Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4111 Clock Tower Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Lynde D Christensen (DENTIST/OWNER) |
| Authorized Official Contact | 2084551816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christensen Dental Pllc 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: (208) 455-1816 | Christensen Dental Pllc 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: (208) 455-1816 |
| NPI Number | 1104099118 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104099118 | NPI | - | NPPES |
| 6K588 | Other | ID | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3741 (Idaho) | Primary |
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