| NPI | 1447602784 |
|---|---|
| Doing Business As | CARSON PERIODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHRISTAL BRICKER Administrator 775-882-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-10-01 |