Individual
DR. DANIEL JOSEPH CARLON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
817 MAYO LN, AUGUSTA, GA 30907-9292
(706) 721-2606
(706) 723-0218
Mailing address
817 MAYO LN, AUGUSTA, GA 30907-9292
(706) 955-8650
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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