| NPI | 1225577224 |
|---|---|
| Doing Business As | CHRISTENSEN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRET CHRISTENSEN Dr 208-791-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ID D 3069 OR) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |