Individual
LILLIAN W. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
625 N MAPLE AVE, HO HO KUS, NJ 07423-1589
(201) 652-0080
(201) 652-4585
Mailing address
132 COUNTRY CLUB LN, POMONA, NY 10970-2439
(845) 354-0076
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
22HI100080800
NJ
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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