Organization
KATHLEEN S CARSON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S CARSON DDS (OWNER)
(818) 889-0400
Entity
Organization
Contact information
Practice address
30200 AGOURA RD STE 270, AGOURA HILLS, CA 91301-5434
(818) 889-0400
Mailing address
30200 AGOURA RD STE 270, AGOURA HILLS, CA 91301-5434
(818) 889-0400
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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