Individual
DR. CASEY BRYANT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
121 E FRONT AVE, BISMARCK, ND 58504-5589
(701) 223-1194
Mailing address
121 E FRONT AVE, BISMARCK, ND 58504-5589
(701) 223-1194
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2020
ND
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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