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Individual

CAROLYN DISSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
900 7TH ST SW, PERHAM, MN 56573-1647
(218) 234-6076
Mailing address
900 7TH ST SW, PERHAM, MN 56573-1647
(218) 234-6076

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13972
MN
122300000X
Dentist
Primary
DS041365
PA

Other

Enumeration date
07/24/2017
Last updated
02/09/2026
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