Fredrick D Carlson DDS

NPI 1063425130 - Dentist - 122300000X

NPI Details
NPI 1063425130
Gender Male
Enumeration Date 08/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
717 S STATE ST
STE 700
FAIRMONT MN, 56031-4469, US
Phone (507) 238-1883
Fax (507) 238-1612
Business Location
717 S STATE ST
STE 700
FAIRMONT MN, 56031-4469, US
Phone (507) 238-1883
Fax (507) 238-1612
Toxanomy
Taxonomy Code 122300000X
License State Minnesota
License Number 6851
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According to our database, Dr. Fredrick D Carlson DDS NPI is 1063425130, taxonomy code is 122300000X and license number is 6851, license state is located at Minnesota. Fredrick D Carlson DDS physically located at 717 S State St, Fairmont MN, 56031-4469. NPI Number Fredrick D Carlson DDS has the Individual type.

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1063425130 NPI number is provided on an as is basis without warranty of any kind. 1063425130 is maintained by the National Plan & Provider Enumeration System. The contents of Fredrick D Carlson DDS are for informational purposes only.