MARK TAGUE CARLSON

FAYETTEVILLE, NC
NPI1952418618
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  6963)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
-- MARK TAGUE CARLSON DDS
1400 WALTER REED RD SUITE 200
FAYETTEVILLE, NC 28304-4409
Phone number: 910-864-9884
Mailing Address
-- MARK TAGUE CARLSON DDS
2041 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-5147
Phone number: 336-777-0303
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