Asa Derrick Carson
Asa Derrick Carson is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2017.
- Licensed in
- IL
- In the registry since
- 2017
Practice location Address checks out
25 E Washington StChicago, IL 60602-1708
Phone: (312) 782-8862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019031149 (IL) |
|---|
Record details
| NPI number | 1326577362 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 5, 2017 |
| Last updated in NPPES | June 5, 2017 |
| Mailing address | 1517 W Taylor St Fl 1, Chicago, IL 60607-4015 |
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