Organization
DR. KATHLEEN CARSON, DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN CARSON DDS (OWNER)
(805) 504-5508
Entity
Organization
Contact information
Practice address
20271 SW ACACIA ST STE 100, NEWPORT BEACH, CA 92660-1731
(949) 274-9287
Mailing address
1278 GLENNEYRE ST # 44, LAGUNA BEACH, CA 92651-3103
(805) 504-5508
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
01/09/2026
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