Individual
DR. CARLA CARISA DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1251 E SUNSHINE ST STE 108, SPRINGFIELD, MO 65804-1162
(417) 501-8601
(417) 501-8602
Mailing address
1251 E SUNSHINE ST STE 108, SPRINGFIELD, MO 65804-1162
(417) 501-8601
(417) 501-8602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2004018067
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401030804
—
MO
Enumeration date
08/29/2006
Last updated
07/22/2021
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