Individual
MRS. SUSAN KAY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
24427 SE 44TH CT, ISSAQUAH, WA 98029-6554
(206) 948-9384
Mailing address
24427 SE 44TH CT, ISSAQUAH, WA 98029-6554
(206) 948-9384
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005900
WA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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