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1720659600
IAN CARLSON
WOODSTOCK, GA
NPI
1720659600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN122396)
Enumeration Date
2021-07-01
Last Update Date
2021-07-01
Business Address
Dr. IAN CARLSON DMD
1816 EAGLE DR STE 200-A
WOODSTOCK, GA 30189-8274
Phone number: 770-238-1437
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Mailing Address
Dr. IAN CARLSON DMD
900 BUICE LAKE PKWY APT 6206
ACWORTH, GA 30102-8424
Phone number:
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