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1114958410
MICHAEL M CARSON
NORFOLK, VA
NPI
1114958410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA 011516)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
-- MICHAEL M CARSON DMD
1647 ADMIRAL TAUSSIG BLVD
NORFOLK, VA 23511-2803
Phone number: 757-314-6540
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Mailing Address
-- MICHAEL M CARSON DMD
113 NIBLICK CIR
SUFFOLK, VA 23434-9296
Phone number: 757-539-9524
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