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1164697066
RUSSELL EDGAR CARLSON
WINDSOR HEIGHTS, IA
NPI
1164697066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IA 6535)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
Dr. RUSSELL EDGAR CARLSON DDS
1145 66TH ST SUITE 2
WINDSOR HEIGHTS, IA 50311-1705
Phone number: 515-279-0856
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Mailing Address
Dr. RUSSELL EDGAR CARLSON DDS
1145 66TH ST SUITE 2
WINDSOR HEIGHTS, IA 50311-1705
Phone number: 515-279-0856
Copy
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