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Organization
JOHN CARSON DDS MS INC
Active
Organization
JOHN CARSON DDS MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN THOMAS CARSON DDS (PRESIDENT)
(916) 965-7444
Entity
Organization
Contact information
Practice address
10425 FAIR OAKS BLVD, STE 102, FAIR OAKS, CA 95628-7559
(916) 965-7444
(916) 965-9372
Mailing address
10425 FAIR OAKS BLVD, STE 102, FAIR OAKS, CA 95628-7559
(916) 965-7444
(916) 965-9372
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
CA32042
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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