Individual
ROSS CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 GOLDBERG ST, FORT BRAGG, NC 28310-0001
(910) 907-1080
Mailing address
1700 GOLDBERG ST, FORT BRAGG, NC 28310-0001
(910) 907-1080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11573
NC
Other
Enumeration date
08/08/2019
Last updated
07/16/2020
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