Individual
DR. ROBERT BRUCE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
220 SUNBIRD CLIFFS LN, COLORADO SPRINGS, CO 80919-8015
(719) 526-5537
Mailing address
220 SUNBIRD CLIFFS LN, COLORADO SPRINGS, CO 80919-8015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019-14025
IL
1223G0001X
General Practice Dentistry
173
CO
1223G0001X
General Practice Dentistry
DEN-173
CO
1223G0001X
General Practice Dentistry
Primary
DEN......173
CO
1223P0700X
Prosthodontics
DEN-173
CO
Other
Enumeration date
08/16/2006
Last updated
02/27/2014
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