Individual
DR. DESTINIE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3121 N GEORGE BUSH FWY, #113, GARLAND, TX 75040-2752
(469) 368-9889
Mailing address
3121 N GEORGE BUSH FWY, #113, GARLAND, TX 75040-2752
(469) 368-9889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30986
TX
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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