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Organization

D CHASE CARLSON DMD PLLC

Active
Other names
South Lake Dental, South Lake Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID CHASE CARLSON DMD (DENTIST)
(801) 885-6460
Entity
Organization

Contact information

Practice address
10515 20TH ST SE STE 201, LAKE STEVENS, WA 98258-4767
(801) 885-6460
Mailing address
791 E 1150 N, PLEASANT GROVE, UT 84062-1952
(801) 885-6460

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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