Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 09550 | IA |
NPI | 1023505484 |
---|---|
Provider Name | Alison Renee Christensen |
First Address | West Des Moines, IA 50266-3900 |
Second Address | West Des Moines, IA 50266-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2018 |
Last Update Date | 01/03/2021 |