Individual
BRUCE ALAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
267 MAIN ST, LANSING, IA 52151
(563) 538-4673
Mailing address
PO BOX 250, LANSING, IA 52151
(563) 538-4673
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6308
IA
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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