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Individual

DR. JOHN TERRY CARLSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
631 HELEN KELLER BLVD, SUITE 200, TUSCALOOSA, AL 35404-2983
(205) 553-4477
(205) 553-0202
Mailing address
631 HELEN KELLER BOULEVARD, SUITE 200, TUSCALOOSA, AL 35404
(205) 553-4477
(205) 553-0202

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5759
AL

Other

Enumeration date
06/10/2010
Last updated
12/03/2014
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