Tricia Carlson, D.D.S. Valid NPI

Individual provider · Dentist · Wyoming, MN

NPI

1003932138

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

D11193 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2007-03-21

Last updated

2007-07-08