Organization
LAURA CARROLL DMD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA CARROLL DMD (DENTIST)
(502) 262-1941
Entity
Organization
Contact information
Practice address
925 W MONTANA ST, UNIT B, CHICAGO, IL 60614-2431
(502) 262-1941
Mailing address
925 W MONTANA ST, UNIT B, CHICAGO, IL 60614-2431
(502) 262-1941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028474
IL
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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