Individual
DR. CLAYTON DALE KARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60400620
WA
1223G0001X
General Practice Dentistry
D-4236
ID
Other
Enumeration date
08/13/2009
Last updated
11/06/2020
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