| Dennis L Carlson Family Dentistry Ltd | |
|
302 W Chestnut St 200 Tini Square Bldg Virginia MN 55792-2541 | |
| (218) 741-0089 | |
| Not Available |
| Full Name | Dennis L Carlson Family Dentistry Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 W Chestnut St, Virginia, Minnesota |
| Authorized Official Name and Position | Dennis Lee Carlson (OWNER PRESIDENT) |
| Authorized Official Contact | 2187410089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis L Carlson Family Dentistry Ltd 302 W Chestnut St 200 Tini Square Bldg Virginia MN 55792-2541 Ph: (218) 741-0089 | Dennis L Carlson Family Dentistry Ltd 302 W Chestnut St 200 Tini Square Bldg Virginia MN 55792-2541 Ph: (218) 741-0089 |
| NPI Number | 1477587459 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477587459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D7791 (Minnesota) | Primary |
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