DR. Russell Edgar Carlson III, DDS

NPI #1164697066 in Windsor Heights, Iowa

Provider Information

NPI Number
1164697066
Entity Type
Individual
Name
DR. Russell Edgar Carlson III, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Apr 23, 2008
Last Updated
Apr 23, 2008

Practice Location

Address
1145 66TH ST
Address 2
SUITE 2
State
Iowa
ZIP Code
50311-1705
Phone
(515) 279-0856

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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