Adolph C Carlson, DDS
Dentist, General Practice in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1013577832
StatusActive
Last updated in NPPESJun 14, 2019
Details
- NPI
- 1013577832
- Entity type
- Individual (NPI-1)
- Name
- Adolph C Carlson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2019
- Last updated
- Jun 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DEN.00204039 | CO | Yes |
Practice location
685 Citadel Dr E Ste 302Colorado Springs, CO 80909-5316
Phone 719-493-9353
Mailing address
685 Citadel Dr E Ste 302Colorado Springs, CO 80909-5316
Phone 719-493-9353
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