Carlson Distinctive Dentistry, Pllc
NPI #1598243990 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1598243990
- Entity Type
- Organization
- Organization Name
- Carlson Distinctive Dentistry, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 30, 2018
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 1701 CURVE CREST BLVD W STE 100
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082
- Phone
- (651) 439-8840
Authorized Official
- Name
- DR. SARAH L CARLSON, DDS
- Title
- PRESIDENT/CEO
- Phone
- (651) 472-4713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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