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Organization
ADRIAN CARLSON & ASSOCIATES PLLC
Active
Organization
ADRIAN CARLSON & ASSOCIATES PLLC
Active
Other names
Carlson Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN BRADLEY CARLSON DMD (OWNER/DENTIST)
(406) 321-1068
Entity
Organization
Contact information
Practice address
3227 DEAN RD, LAMBERTVILLE, MI 48144-9614
(406) 321-1068
Mailing address
2565 W ERIE RD, TEMPERANCE, MI 48182-9433
(406) 321-1068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901600758
MICHIGAN LICENSE
MI
Enumeration date
04/28/2022
Last updated
04/28/2022
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