Individual
CARSON THEODORE HUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4076 3RD AVE STE 201, SAN DIEGO, CA 92103-2129
(619) 298-2322
Mailing address
2469 PURDUE AVE APT 203, LOS ANGELES, CA 90064-5111
(530) 966-1745
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
111448
CA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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