DR. Jan Ray Carlson, DDS

NPI #1417059478 in Lakewood, New York

Provider Information

NPI Number
1417059478
Entity Type
Individual
Name
DR. Jan Ray Carlson, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Sep 1, 2006
Last Updated
Jul 28, 2016

Practice Location

Address
133 E FAIRMOUNT AVE STE 1
ZIP Code
14750-1950
Phone
(716) 763-0130

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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