Individual
DR. KEVIN BRUCE CAROLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
901 SUPERIOR ST, PORT HURON, MI 48060-3746
(810) 982-7682
(810) 984-2653
Mailing address
901 SUPERIOR ST, PORT HURON, MI 48060-3746
(810) 982-7682
(810) 984-2653
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901012677
MI
Other
Enumeration date
06/14/2005
Last updated
07/08/2007
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