Individual
DR. CARSON DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
702 N TRENTON ST, RUSTON, LA 71270-3324
(318) 255-9440
Mailing address
322 OLD WIRE RD, RUSTON, LA 71270-9503
(317) 488-0345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6905
LA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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