Individual
DR. JEFFREY F CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
515 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0357
(612) 626-3468
Mailing address
6616 LIMERICK LANE, EDINA, MN 55439-1326
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8252
MN
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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