Individual
MR. DAVID CHARLES CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
111 MAIN STREET, TIOGA, ND 58852
(701) 664-2582
Mailing address
PO BOX 758, 111 MAIN, TIOGA, ND 58852-0758
(701) 664-2582
(701) 664-2581
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1718
ND
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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