David Chase Carlson, DMD Valid NPI

Individual provider · General Practice Dentistry · Provo, UT

NPI

1881208700

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D11311 (OR)

Sex

Male

Sole proprietor

No

Enumerated

2020-09-08

Last updated

2021-12-18