# PAULA G CARSON DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417223298
- **Authorized official:** DR. PAULA G CARSON DDS (OWNER)
- **Authorized official phone:** (313) 532-1115

## Contact information

- **Practice address:** 18616 W MCNICHOLS RD, DETROIT, MI 48219-4160
- **Practice address phone:** (313) 532-1115
- **Mailing address:** 18616 W MCNICHOLS RD, DETROIT, MI 48219-4160
- **Mailing address phone:** (313) 532-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901015644 | MI | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 03/27/2012