Individual
DR. LEONARD EARL CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1011 N 2ND ST, ST CLOUD, MN 56303
(320) 252-0414
(320) 252-0420
Mailing address
1011 N 2ND ST, ST CLOUD, MN 56303
(320) 252-0414
(320) 252-0420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6927
MN
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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