Organization
DR LEONARD E CARLSON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD EARL CARLSON DDS (PRES)
(720) 252-0414
Entity
Organization
Contact information
Practice address
1011 N 2ND ST, ST CLOUD, MN 56303
(320) 252-0414
(320) 252-0420
Mailing address
1011 N 2ND ST, ST CLOUD, MN 56303
(320) 252-0414
(320) 252-0420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6927
MN
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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