| Derek K. Carson Dds Inc. | |
|
126 W Deodar Ave Oxnard CA 93030 | |
| (805) 983-0717 | |
| (805) 247-0053 |
| Full Name | Derek K. Carson Dds Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 126 W Deodar Ave, Oxnard, California |
| Authorized Official Name and Position | Derek K Carson (OWNER) |
| Authorized Official Contact | 8059830717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derek K. Carson Dds Inc. 126 Deodar Ave Oxnard CA 93030-4927 Ph: (805) 983-0717 | Derek K. Carson Dds Inc. 126 W Deodar Ave Oxnard CA 93030 Ph: (805) 983-0717 |
| NPI Number | 1437627460 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437627460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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