| NPI | 1295270734 |
|---|---|
| Doing Business As | THE DENTAL OFFICE OF CARSON |
| Entity Type | Organization |
| Authorized Contact | WALTER JEFFERSON Owner 310-469-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-22 |