Individual
DR. WILLIAM BRENT CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10894 S RIVER FRONT PKWY, SOUTH JORDAN, UT 84095
(801) 878-1410
Mailing address
1568 E FAIRWAY RIDGE RD, DRAPER, UT 84020-7681
(619) 846-7640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029221
CA
Other
Enumeration date
08/26/2005
Last updated
05/15/2018
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