Individual
MRS. TINA L CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1 COURT ST STE 270, LEBANON, NH 03766-6313
(603) 448-1830
Mailing address
PO BOX 554, SOUTH ROYALTON, VT 05068-0554
(802) 779-4010
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2954
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2954
RDH
NH
Enumeration date
06/20/2011
Last updated
06/20/2011
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