Organization
SEAN K CARLSON DMD MS INC
Active
Other names
Simple Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN K CARLSON DMD, MS (PRESIDENT)
(415) 746-1300
Entity
Organization
Contact information
Practice address
265 MAGNOLIA AVE, STE 100, LARKSPUR, CA 94939
(415) 746-1300
Mailing address
265 MAGNOLIA AVE, STE 100, LARKSPUR, CA 94939
(415) 746-1300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
08/29/2024
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