| Kathleen Carson Dds, Inc | |
|
30200 Agoura Rd Suite 270 Agoura Hills CA 91301-5434 | |
| (818) 889-0400 | |
| (818) 889-9032 |
| Full Name | Kathleen Carson Dds, Inc |
|---|---|
| Speciality | Dentist |
| Location | 30200 Agoura Rd, Agoura Hills, California |
| Authorized Official Name and Position | Kathleen Carson (OWNER) |
| Authorized Official Contact | 8188890400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Carson Dds, Inc 30200 Agoura Rd Suite 270 Agoura Hills CA 91301-5434 Ph: (818) 889-0400 | Kathleen Carson Dds, Inc 30200 Agoura Rd Suite 270 Agoura Hills CA 91301-5434 Ph: (818) 889-0400 |
| NPI Number | 1487994406 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 03/25/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487994406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48708 (California) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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