| Gordon J. Christensen Dds Phd Pc | |
|
3707 N Canyon Rd Suite 4 Provo UT 84604-4592 | |
| (801) 226-5315 | |
| (801) 655-1950 |
| Full Name | Gordon J. Christensen Dds Phd Pc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 3707 N Canyon Rd, Provo, Utah |
| Authorized Official Name and Position | Misty Gayle Wilson (OFFICE MANAGER) |
| Authorized Official Contact | 8012265315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gordon J. Christensen Dds Phd Pc 3707 N Canyon Rd Ste 4 Provo UT 84604-4587 Ph: (801) 226-5315 | Gordon J. Christensen Dds Phd Pc 3707 N Canyon Rd Suite 4 Provo UT 84604-4592 Ph: (801) 226-5315 |
| NPI Number | 1841654126 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841654126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 137010 (Utah) | Primary |
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