| Carson Dental | |
|
23535 Avalon Blvd Carson CA 90745-5522 | |
| (310) 835-5550 | |
| (310) 834-5550 |
| Full Name | Carson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 23535 Avalon Blvd, Carson, California |
| Authorized Official Name and Position | Mina T Abraham (PRESIDENT) |
| Authorized Official Contact | 3108355550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Dental 23535 Avalon Blvd Carson CA 90745-5522 Ph: (310) 835-5550 | Carson Dental 23535 Avalon Blvd Carson CA 90745-5522 Ph: (310) 835-5550 |
| NPI Number | 1477175073 |
|---|---|
| Provider Enumeration Date | 05/18/2020 |
| Last Update Date | 03/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477175073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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