Brian Carlson, DMD

NPI #1891158143 in Blasdell, New York

Provider Information

NPI Number: 1891158143
Entity Type: Individual
Name: Brian Carlson, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Apr 4, 2016
Last Updated: Apr 29, 2019

Practice Location

Address: 1060 MCKINLEY MALL
City: Blasdell
State: New York
ZIP Code: 14219
Phone: (716) 954-8705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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