Individual
DR. DAN E CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1712 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 873-1778
Mailing address
1712 DAVIE AVE, STATESVILLE, NC 28677-3522
(704) 873-1778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5271
NC
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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