Individual
DEREK KLEKER CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
126 W DEODAR AVE, OXNARD, CA 93030
(805) 983-0717
(805) 247-0053
Mailing address
126 W DEODAR AVE, OXNARD, CA 93030
(805) 983-0717
(805) 247-0053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
CA 52969
CA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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