Organization
CARLSON DENTAL OFFICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL F CARLSON DDS (DENTIST OWNER)
(507) 238-1883
Entity
Organization
Contact information
Practice address
717 S STATE ST, STE 700, FAIRMONT, MN 56031-4469
(507) 238-1883
(507) 238-1612
Mailing address
717 S STATE ST, STE 700, FAIRMONT, MN 56031-4469
(507) 238-1883
(507) 238-1612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11032
MN
122300000X
Dentist
6851
MN
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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