| NPI | 1740799824 |
|---|---|
| Doing Business As | PAUL D. CARLSON, DDS |
| Entity Type | Organization |
| Authorized Contact | KAREN JEAN STRUCK Office Administrator 480-897-2483 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |