Carlson, Gary Leroy
Carlson, Gary Leroy is an sole proprietor health care provider with primary practice located at 17809 Hutchins Dr Ste 101, Minnetonka MN 55345-4100. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Carlson, Gary Leroy can be contacted via phone (952) 474-3203.Contact Information
Primary practice address
17809 Hutchins Dr Ste 101
Minnetonka MN 55345-4100
Phone: (952) 474-3203
Fax: (952) 474-3204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | D6852 | Minnesota |
Profile Details
| NPI number | 1376609412 |
|---|---|
| LBN Legal business name | Carlson, Gary Leroy |
| Credentials | D.D.S., M.S.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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