Carlson Dental Office PA

NPI #1184637258 in Fairmont, Minnesota

Provider Information

NPI Number: 1184637258
Entity Type: Organization
Organization Name: Carlson Dental Office PA
Primary Specialty: Dentist
Enumeration Date: Aug 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 717 S STATE ST
Address 2: STE 700
City: Fairmont
State: Minnesota
ZIP Code: 56031-4469
Phone: (507) 238-1883

Authorized Official

Name: DR. PAUL F CARLSON, DDS
Title: DENTIST OWNER
Phone: (507) 238-1883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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