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1083670780
MARK DAVID CARLSON
TACOMA, WA
NPI
1083670780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WA DE00005551)
Enumeration Date
2006-04-22
Last Update Date
2007-07-08
Business Address
Dr. MARK DAVID CARLSON MS DDS
1550 SOUTH UNION AVENUE SUITE 250
TACOMA, WA 98405-1946
Phone number: 253-572-4601
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Mailing Address
Dr. MARK DAVID CARLSON MS DDS
1550 SOUTH UNION AVENUE SUITE 250
TACOMA, WA 98405-1946
Phone number: 253-572-4601
Copy
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