Organization
CARSON FAMILY DENTISTRY LLC
Active
Parent organization
R CHRISTOPHER CARSON DDS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
R CHRISTOPHER CARSON DDS, INC
Authorized official
DR. R CHRISTOPHER CARSON DDS (OWNER)
(440) 543-1234
Entity
Organization
Contact information
Practice address
24300 CHAGRIN BLVD, BEACHWOOD, OH 44122
(216) 464-0442
Mailing address
8505 TANGLEWOOD SQ STE T17, CHAGRIN FALLS, OH 44023-6400
(440) 543-1234
(440) 543-1205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20891
OH
Other
Enumeration date
05/16/2018
Last updated
05/22/2018
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