Individual
ADOLPH C CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
685 CITADEL DR E STE 302, COLORADO SPRINGS, CO 80909-5316
(719) 493-9353
Mailing address
685 CITADEL DR E STE 302, COLORADO SPRINGS, CO 80909-5316
(719) 493-9353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN.00204039
CO
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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