Individual
EMILY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 ADRIAN ST, DELTA, OH 43515-1117
(855) 222-3268
Mailing address
101 ADRIAN ST, DELTA, OH 43515-1117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.026940
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22744
—
NY
Enumeration date
05/03/2021
Last updated
08/16/2022
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