Grace Yu Carlson, DDS

NPI #1376607184 in Yucaipa, California

Provider Information

NPI Number: 1376607184
Entity Type: Individual
Name: Grace Yu Carlson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 19, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 35225 AVENUE A
Address 2: SUITE 201
City: Yucaipa
State: California
ZIP Code: 92399-4359
Phone: (909) 790-2618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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