Individual
DR. KATHERINE ANNE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.022948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30.022948
OHIO DENTAL BOARD
OH
Enumeration date
08/12/2008
Last updated
06/05/2024
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