Individual
DR. PAUL MICHAEL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
507 SOUTH SHORE DRIVE, WORTHINGTON, MN 56187
(507) 372-2072
Mailing address
236 TANAGER PATH, MANKATO, MN 56001-6394
(319) 471-3466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13010
MN
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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