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Individual

DR. PHILIP L CARLSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
37 PEARL ST, PORT ALLEGANY, PA 16743
(814) 642-2661
(814) 642-9388
Mailing address
PO BOX 159, 37 PEARL ST, PORT ALLEGANY, PA 16743
(814) 642-2661
(814) 642-9388

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018186L
PA

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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