Individual
MONTE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
105 S 200 W, RICHMOND, UT 84333-1278
(435) 258-2578
Mailing address
12303 N 2000 E, COVE, UT 84320
(435) 258-2578
(435) 258-5521
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
143382
UT
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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