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CARLYLE HOLBROOK DAHLQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1508 NW MOCK AVE, SUITE A, BLUE SPRINGS, MO 64015-3095
(816) 228-7176
(816) 224-9555
Mailing address
1508 NW MOCK AVE, SUITE A, BLUE SPRINGS, MO 64015-3095
(816) 228-7176
(816) 224-9555

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13940
MO

Other

Enumeration date
11/14/2006
Last updated
07/08/2007
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