Individual
DR. PATRICIA LOUISE CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
111 WILLARD ST, SUITE 1A, QUINCY, MA 02169-1200
(617) 689-0800
(617) 689-3232
Mailing address
111 WILLARD ST, SUITE 1A, QUINCY, MA 02169-1200
(617) 689-0800
(617) 689-3232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17283
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11547
BC/BS
MA
Enumeration date
10/28/2006
Last updated
10/01/2007
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