Organization
DENTAL HEALTH PROFESSIONALS
Active
Other names
The Carrollton Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KROEGER (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2440 N JOSEY LN, SUITE 101, CARROLLTON, TX 75006-1668
(972) 323-0501
(972) 323-0551
Mailing address
2440 N JOSEY LN, SUITE 101, CARROLLTON, TX 75006-1668
(972) 323-0501
(972) 323-0551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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