Individual
DR. CARSEN ROBERT MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2954 CARRINGTON RD, FORT BLISS, TX 79916
(915) 742-2685
Mailing address
33801 ACADEMIC DRIVE, FORT GORDON, GA 30905
(706) 787-6927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10844329-8903
UT
Other
Enumeration date
05/30/2018
Last updated
07/27/2026
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