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Individual

DR. STEVEN CARLSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
203 PARK AVE W, PINE RIVER, MN 56474-4495
(218) 587-4437
Mailing address
15021 GARLAND DR, BAXTER, MN 56425-3800
(320) 266-6934

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D13393
MN

Other

Enumeration date
07/08/2014
Last updated
08/11/2014
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