Individual
DR. CAROLYN M. CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2233 WILLAMETTE ST, SUITE B, EUGENE, OR 97405-2890
(541) 687-2156
(541) 684-9268
Mailing address
2233 WILLAMETTE ST, SUITE B, EUGENE, OR 97405-2890
(541) 687-2156
(541) 684-9268
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6877
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119524
—
OR
Enumeration date
10/15/2005
Last updated
07/09/2007
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