| NPI | 1679121511 | 
|---|---|
| Other Name | CARLSON ORTHODONTICS | 
| Entity Type | Organization | 
| Authorized Contact | CHRISTINE HAMMER Orthodontist/Owner 218-349-9546  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| Enumeration Date | 2019-09-03 | 
| Last Update Date | 2019-09-03 |