Organization
CESAR CARRASCO DDS INC
Active
Parent organization
CESAR CARRASCO DDS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CESAR CARRASCO DDS INC
Authorized official
CESAR E CARRASCO (PRESIDENT)
(818) 392-9634
Entity
Organization
Contact information
Practice address
21847 S AVALON BLVD, CARSON, CA 90745
(310) 549-9710
(310) 549-4049
Mailing address
21847 S AVALON BLVD, CARSON, CA 90745
(310) 549-9710
(310) 549-4049
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
03/07/2019
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