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Individual
TIMOTHY ARNOLD CARLSON
Active
Individual
TIMOTHY ARNOLD CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2402
MT
1223E0200X
Endodontics
Primary
2402
MT
Other
Enumeration date
03/22/2010
Last updated
09/06/2023
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