Individual
DR. LEE VAN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1805 W MAIN ST, STE. 2, DOTHAN, AL 36301-1343
(334) 793-7687
(334) 793-0067
Mailing address
1805 W MAIN ST, STE. 2, DOTHAN, AL 36301-1343
(334) 793-7687
(334) 793-0067
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4080AL
AL
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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