Organization
LEONARD G. CARLSON, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD G CARLSON D.D.S. (PRESIDENT)
(508) 398-6939
Entity
Organization
Contact information
Practice address
249 STATION AVE, SOUTH YARMOUTH, MA 02664-1863
(508) 398-6939
Mailing address
249 STATION AVE, SOUTH YARMOUTH, MA 02664-1863
(508) 398-6939
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855363
MA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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