Individual
ANDREW CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
907 N ANKENY BLVD, ANKENY, IA 50023-4002
(515) 964-1490
Mailing address
3209 NW 29TH ST, ANKENY, IA 50023-1269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09916
IA
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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