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Individual

DR. JEAN JUDY CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
609 LOCUST ST, CAMBRIDGE, MD 21613-1705
(410) 228-7111
(410) 228-9497
Mailing address
609 LOCUST ST, CAMBRIDGE, MD 21613-1705
(410) 228-7111
(410) 228-9497

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8202
MD

Other

Enumeration date
12/11/2006
Last updated
07/08/2007
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