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1104908284
KENNETH CARLSON
FARMINGTON HILLS, MI
NPI
1104908284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12008375)
Enumeration Date
2006-10-19
Last Update Date
2007-07-08
Business Address
DR. KENNETH CARLSON DDS
25882 ORCHARD LAKE RD
FARMINGTON HILLS, MI 48336-1292
Phone number: 248-442-6600
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Mailing Address
DR. KENNETH CARLSON DDS
705 S RANGE LINE RD
CARMEL, IN 46032-2537
Phone number:
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