Individual
ROBERT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 E RED BRIDGE RD STE 321, KANSAS CITY, MO 64131-4031
(816) 943-0600
Mailing address
5309 W 64TH ST, PRAIRIE VILLAGE, KS 66208-1333
(605) 228-4913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2018014355
MO
1223G0001X
General Practice Dentistry
61335
KS
Other
Enumeration date
07/15/2018
Last updated
01/15/2025
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