| Carson Dental Care | |
|
240 W Carson St Carson CA 90745 | |
| (310) 549-5580 | |
| (310) 549-2097 |
| Full Name | Carson Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 240 W Carson St, Carson, California |
| Authorized Official Name and Position | Maria Cecilia Aluning (PRESIDENT) |
| Authorized Official Contact | 3105495580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Dental Care 240 W Carson St Carson CA 90745 Ph: (310) 549-5580 | Carson Dental Care 240 W Carson St Carson CA 90745 Ph: (310) 549-5580 |
| NPI Number | 1720120124 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2860825239 |
|---|---|
| Medicare Enrollment ID | O20191126001528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720120124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45425 (California) | Primary |
| Provider Name | Maria Cecilia Aluning |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972703775 PECOS PAC ID: 3779916143 Enrollment ID: I20191126001653 |
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