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Individual

DR. JEREMY PATRICK CARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
18555 N 59TH AVE, SUITE 127, GLENDALE, AZ 85308-1255
(602) 588-7777
Mailing address
18555 N 59TH AVE, SUITE 127, GLENDALE, AZ 85308-1255
(602) 588-7777

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5467
AZ

Other

Enumeration date
03/25/2006
Last updated
10/24/2007
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