Individual
DR. LAURA R CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
6344 W. HWY 146 STE 100, CRESTWOOD, KY 40014
(502) 241-4121
(502) 241-5787
Mailing address
6344 W. HWY 146 STE 100, CRESTWOOD, KY 40014
(502) 241-4121
(502) 241-5787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028474
IL
122300000X
Dentist
Primary
8864
KY
Other
Enumeration date
08/18/2010
Last updated
10/23/2019
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