SCOTT D CARLSON

PRIOR LAKE, MN
NPI1700495140
Entity TypeOrganization
Authorized ContactGERALYN MARY BERENS
Office Manager
952-447-6054
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
SCOTT D CARLSON
4667 DAKOTA ST SE
PRIOR LAKE, MN 55372-1714
Phone number: 952-447-6054
Mailing Address
SCOTT D CARLSON
4667 DAKOTA ST SE
PRIOR LAKE, MN 55372-1714
Phone number: 952-447-6054