Individual
DANIEL WILLIAM CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 22ND AVE SO, BROOKINGS, SD 57006
(605) 697-6212
(605) 697-6212
Mailing address
102 22ND AVE SO, BROOKINGS, SD 57006
(605) 697-6212
(605) 697-6212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D9932
MN
122300000X
Dentist
Primary
M409
SD
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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