Individual
DR. LA SHUN LA RUE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 783-5646
(888) 479-4355
Mailing address
1 RIVER ST, WAKEFIELD, RI 02879-3214
(401) 269-8925
(888) 479-4355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN03155
RI
Other
Enumeration date
01/13/2006
Last updated
01/26/2015
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