Organization
DENNIS L CARLSON FAMILY DENTISTRY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS LEE CARLSON DDS (OWNER PRESIDENT)
(218) 741-0089
Entity
Organization
Contact information
Practice address
302 W CHESTNUT ST, 200 TINI SQUARE BLDG, VIRGINIA, MN 55792-2541
(218) 741-0089
Mailing address
302 W CHESTNUT ST, 200 TINI SQUARE BLDG, VIRGINIA, MN 55792-2541
(218) 741-0089
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7791
MN
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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