| 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 |