| NPI | 1427347426 |
|---|---|
| Doing Business As | PETER CHRISTENSEN DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEANNE M WOLFE Compliance Officer 715-588-4466 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2014-01-28 |