Randy D Carlson Dmd Adc and Charles L Drury DDS Aegd Apc
NPI #1588969547 in Bonsall, California
Provider Information
- NPI Number
- 1588969547
- Entity Type
- Organization
- Organization Name
- Randy D Carlson Dmd Adc and Charles L Drury DDS Aegd Apc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 21, 2011
- Last Updated
- Jan 21, 2011
Practice Location
- Address
- 5256 S MISSION RD
- Address 2
- SUITE 1101
- City
- Bonsall
- State
- California
- ZIP Code
- 92003-3614
- Phone
- (760) 630-5500
Authorized Official
- Name
- DR. RANDY DENNIS CARLSON, DMD
- Title
- MANAGING PARTNER
- Phone
- (760) 630-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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