Individual
LESLIE ANN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1428 W HEBRON PKWY, SUITE #140, CARROLLTON, TX 75010-6345
(972) 394-1234
(972) 394-1154
Mailing address
1677 OAK RIDGE DR, CORINTH, TX 76210-3044
(585) 739-9691
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
28797
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2010
Last updated
10/21/2014
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