Dr. Clayton Dale Karlson, DMD
Dentist in Spokane, WA. Individual provider (NPI-1).
NPI number1760614481
StatusActive
Last updated in NPPESNov 6, 2020
Details
- NPI
- 1760614481
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clayton Dale Karlson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 13, 2009
- Certification date
- Nov 6, 2020
- Last updated
- Nov 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE60400620 | WA | Yes |
| 1223G0001X | Dentist, General Practice | D-4236 | ID |
Practice location
3919 N Maple StSpokane, WA 99205-1349
Phone 509-444-8200
Mailing address
611 N Iron Bridge WaySpokane, WA 99202-4932
Phone 509-444-8888
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