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Individual
KURT W. CARLSON
Active
Individual
KURT W. CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8994
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255369278
CORPORATION NPI
MN
Enumeration date
10/19/2006
Last updated
07/10/2018
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