| John Carson Dds Ms Inc | |
|
10425 Fair Oaks Blvd Ste 102 Fair Oaks CA 95628-7559 | |
| (916) 965-7444 | |
| (916) 965-9372 |
| Full Name | John Carson Dds Ms Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 10425 Fair Oaks Blvd, Fair Oaks, California |
| Authorized Official Name and Position | John Thomas Carson (PRESIDENT) |
| Authorized Official Contact | 9169657444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John Carson Dds Ms Inc 10425 Fair Oaks Blvd Ste 102 Fair Oaks CA 95628-7559 Ph: (916) 965-7444 | John Carson Dds Ms Inc 10425 Fair Oaks Blvd Ste 102 Fair Oaks CA 95628-7559 Ph: (916) 965-7444 |
| NPI Number | 1558713693 |
|---|---|
| Provider Enumeration Date | 07/12/2016 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558713693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | CA32042 (California) | Primary |
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