Individual
DR. KATHLEEN LOUISE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9 CENTURY HILL DR, LATHAM, NY 12110-2113
(518) 785-3911
(518) 785-4910
Mailing address
PO BOX 985, SARATOGA SPRINGS, NY 12866-0985
(518) 879-6606
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049457-1
NY
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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