GARY R CARLSON DDS INC

SAN JOSE, CA
NPI1780805770
Entity TypeOrganization
Authorized ContactGARY R CARLSON
President Dentist
408-984-1166
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: CA  18300)
Enumeration Date2007-05-01
Last Update Date2020-08-22
Business Address
GARY R CARLSON DDS INC
1101 S WINCHESTER BLVD #I202
SAN JOSE, CA 95128
Phone number: 408-984-1166
Mailing Address
GARY R CARLSON DDS INC
1101 S WINCHESTER BLVD #I202
SAN JOSE, CA 95128
Phone number: 408-984-1166