Dr. Carson Dahl, DDS
Dentist in Ruston, LA. Individual provider (NPI-1).
NPI number1962997379
StatusActive
Last updated in NPPESJun 27, 2018
Details
- NPI
- 1962997379
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carson Dahl
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2018
- Last updated
- Jun 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 6905 | LA | Yes |
Practice location
702 N Trenton StRuston, LA 71270-3324
Phone 318-255-9440
Mailing address
322 Old Wire RdRuston, LA 71270-9503
Phone 317-488-0345
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