NPI | 1437513629 |
---|---|
Former Name | JENNIFER CHRISTENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401415972) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2018-09-25 |