Individual
DR. CARL BENTON FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16795 COUNTY ROAD 24 STE 6, PLYMOUTH, MN 55447
(763) 577-9840
(763) 533-2034
Mailing address
16795 COUNTY ROAD 24 STE 6, PLYMOUTH, MN 55447-1202
(763) 577-9840
(763) 577-9843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11044
MN
Other
Enumeration date
09/26/2006
Last updated
06/05/2018
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