Dennis L Carlson Family Dentistry Ltd

NPI #1477587459 in Virginia, Minnesota

Provider Information

NPI Number: 1477587459
Entity Type: Organization
Organization Name: Dennis L Carlson Family Dentistry Ltd
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 302 W CHESTNUT ST
Address 2: 200 TINI SQUARE BLDG
City: Virginia
State: Minnesota
ZIP Code: 55792-2541
Phone: (218) 741-0089

Authorized Official

Name: MR. DENNIS LEE CARLSON, DDS
Title: OWNER PRESIDENT
Phone: (218) 741-0089

Specialties & Taxonomy Codes

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

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