Individual
DR. SEAN KENNETH CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
265 MAGNOLIA AVE, LARKSPUR, CA 94939-2083
(415) 746-1300
Mailing address
265 MAGNOLIA AVE, LARKSPUR, CA 94939-2083
(415) 746-1300
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42037
CA
Other
Enumeration date
04/11/2012
Last updated
05/13/2024
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