John H Carson, DDS Valid NPI
Individual provider · Dentist · Detroit, MI
- NPI
- 1871654012
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 11710 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-12-12
- Last updated
- 2007-07-08
Practice location
18424 W Mcnichols Rd
Detroit, MI 48219-4161
(313) 537-3800