Richard D Carlson, DMD
NPI #1043388259 in Jacksonville, Florida
Provider Information
- NPI Number
- 1043388259
- Entity Type
- Individual
- Name
- Richard D Carlson, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11362 SAN JOSE BLVD
- Address 2
- STE 7
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32223-7960
- Phone
- (904) 262-8409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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