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Individual

CRAIG M CARTER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
912 16TH AVE, MONROE, WI 53566-1762
(608) 325-6661
(608) 329-4361
Mailing address
PO BOX 140, 912 16TH AVE, MONROE, WI 53566-0140
(608) 325-6661
(608) 329-4361

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0003142
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33452600
WI
Enumeration date
08/30/2005
Last updated
07/08/2007
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