Individual
DR. DENNIS LEE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
302 CHESTNUT ST, 200 TINI SQUARE BLDG., VIRGINIA, MN 55792-2541
(218) 741-0089
Mailing address
302 CHESTNUT ST, 200 TINI SQUARE BLDG., VIRGINIA, MN 55792-2541
(218) 741-0089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7791
MN
Other
Enumeration date
12/20/2006
Last updated
07/09/2007
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