DANIEL WILLIAM CARLSON

BROOKINGS, SD
NPI1528173085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SD  M409)
Additional Taxonomies122300000X Dentist
(Licence: MN  D9932)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
-- DANIEL WILLIAM CARLSON DDS
102 22ND AVE SO
BROOKINGS, SD 57006
Phone number: 605-697-6212
Mailing Address
-- DANIEL WILLIAM CARLSON DDS
102 22ND AVE SO
BROOKINGS, SD 57006
Phone number: 605-697-6212
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