Michael M Carson SR., DMD

NPI #1114958410 in Norfolk, Virginia

Provider Information

NPI Number
1114958410
Entity Type
Individual
Name
Michael M Carson SR., DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Credential
DMD
Enumeration Date
Jul 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1647 ADMIRAL TAUSSIG BLVD
ZIP Code
23511-2803
Phone
(757) 314-6540

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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