| NPI | 1376856625 |
|---|---|
| Former Legal Business Name | JOHN T. CARLSON, JR., D.M.D,, P.C. |
| Entity Type | Organization |
| Authorized Contact | JOHN TERRY CARLSON Owner, President 205-553-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 5759) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2013-09-04 |