Carson, Dawanna Rebecca
Carson, Dawanna Rebecca is an individual health care provider with primary practice located at 12721 Moreno Beach Dr , Moreno Valley CA 92555-4411. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Carson, Dawanna Rebecca can be contacted via phone (951) 692-7300.Contact Information
Primary practice address
12721 Moreno Beach Dr
Moreno Valley CA 92555-4411
Phone: (951) 692-7300
Fax: (702) 949-1900
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28166 | Nevada |
Profile Details
| NPI number | 1770089054 |
|---|---|
| LBN Legal business name | Carson, Dawanna Rebecca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2018 |
| Last updated | Apr 4th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770089054 | NPPES |
| Nevada | MEDICAID | 2102921763 |
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