Individual
DR. TARA L CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3200 VILLAGE VISTA DR UNIT 130, ERIE, CO 80516-2521
(303) 962-6400
Mailing address
2855 GEMINI LOOP, BROOMFIELD, CO 80023-4678
(720) 323-9509
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9012
CO
Other
Enumeration date
10/17/2005
Last updated
02/09/2017
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