Organization
DR. DANIEL W. CARLSON D.D.S., DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELW WILLIAM CARLSON D.D.S. (DOCTOR OF DENTAL SURGERY)
(605) 697-6212
Entity
Organization
Contact information
Practice address
102 22ND AVE S, BROOKINGS, SD 57006-2654
(605) 697-6212
Mailing address
22089 471ST AVE, BROOKINGS, SD 57006-7139
(605) 695-3117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
M409
SD
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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