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Dawanna Rebecca Carson
General Practice Dentistry in Moreno Valley, California
NPI 1770089054

Dawanna Rebecca Carson is a General Practice Dentistry based in Las Vegas, CA and is specialized in General Practice. Dawanna Rebecca Carson practices in Moreno Valley, CA. The NPI Number for Dawanna Rebecca Carson is 1770089054 and holds a License No. 28166 (California).

The current practice location address for Dawanna Rebecca Carson is 12721 Moreno Beach Dr, Moreno Valley, CA and can be reached out via phone at 951-692-7300 and via fax at 702-949-1900.

Location: 12721 Moreno Beach Dr, Moreno Valley, CA, 89118-4207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770089054
Provider Name
Dawanna Rebecca Carson
Credential
Provider Entity Type
Individual
Gender
Female
Address
12721 Moreno Beach Dr, Moreno Valley, CA, 89118-4207
Phone Number
951-692-7300
Fax Number
702-949-1900
Provider Enumeration Date
04/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2102921763 05 NV
institution
Provider Business Practice Location Address Details
Address
12721 Moreno Beach Dr
City
Moreno Valley
State
California
Zip
92555-4411
Phone Number
951-692-7300
Fax Number
702-949-1900
person
Provider Business Mailing Address Details
Address
12721 Moreno Beach Dr
City
Moreno Valley
State
California
Zip
92555-4411
Phone Number
951-692-7300
Fax Number
702-949-1900
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
28166 (Nevada)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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