Individual
EMILY ELIZABETH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 E PINE KNOLL DR, FLAGSTAFF, AZ 86011-2234
(928) 241-8150
Mailing address
1302 W BUFFALO ST, HOLBROOK, AZ 86025-2234
(928) 241-8150
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
09/17/2021
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