Organization
MATTHEW E CARLSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW CARLSON DDS (OWNER)
(360) 922-4460
Entity
Organization
Contact information
Practice address
130 S 15TH ST STE 101, MOUNT VERNON, WA 98274-4569
(360) 922-4460
Mailing address
5859 CRYSTAL SPRINGS LN, BELLINGHAM, WA 98226-7497
(360) 922-4460
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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