Individual
DR. SCOTT DAVID CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4667 DAKOTA ST SE, PRIOR LAKE, MN 55372-1714
(952) 447-6054
(952) 447-6139
Mailing address
4667 DAKOTA ST SE, PRIOR LAKE, MN 55372-1714
(952) 447-6054
(952) 447-6139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D8773
MN
Other
Enumeration date
06/07/2006
Last updated
07/09/2007
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