KENNETH CARLSON

FARMINGTON HILLS, MI
NPI1104908284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12008375)
Enumeration Date2006-10-19
Last Update Date2007-07-08
Business Address
DR. KENNETH CARLSON DDS
25882 ORCHARD LAKE RD
FARMINGTON HILLS, MI 48336-1292
Phone number: 248-442-6600
Mailing Address
DR. KENNETH CARLSON DDS
705 S RANGE LINE RD
CARMEL, IN 46032-2537
Phone number: