DAVID CHASE CARLSON

PROVO, UT
NPI1881208700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  D11311)
Enumeration Date2020-09-08
Last Update Date2021-12-18
Business Address
DAVID CHASE CARLSON DMD
777 N 500 W # 201
PROVO, UT 84601-1541
Phone number: 801-374-8244
Mailing Address
DAVID CHASE CARLSON DMD
1026 COVENTRY CIR
OREM, UT 84097-4700
Phone number: 801-885-6460
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