DR. Kenneth Raymond Carlson, D.D.S.

NPI #1336147313 in Cortez, Colorado

Provider Information

NPI Number: 1336147313
Entity Type: Individual
Name: DR. Kenneth Raymond Carlson, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 13, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 115 N BEECH ST
City: Cortez
State: Colorado
ZIP Code: 81321-3207
Phone: (970) 565-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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