Organization
DRS WORK AND CARLSON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL E CARLSON III DDS (PARTNER)
(515) 279-0856
Entity
Organization
Contact information
Practice address
1145 66TH ST, DES MOINES, IA 50311
(515) 279-0856
(515) 255-6907
Mailing address
1145 66TH ST, DES MOINES, IA 50311
(515) 279-0856
(515) 255-6907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5808
IA
1223G0001X
General Practice Dentistry
6535
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0071811
—
IA
05
—
0500058
—
IA
Enumeration date
12/15/2006
Last updated
04/23/2008
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