Individual
MR. TIMOTHY JON CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
657 ATLANTIC AVE, HANCOCK DENTAL CLILNIC, P.A, HANCOCK, MN 56244
(320) 392-5300
(320) 392-5302
Mailing address
657 ATLANTIC AVE., HANCOCK DENTAL CLILNIC, P.A., HANCOCK, MN 56244
(320) 392-5300
(320) 392-5302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10212
MN
Other
Enumeration date
10/03/2006
Last updated
07/09/2007
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