Individual
DR. DANIEL PATRICK CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1125 S LINDEN RD, SUITE 800, FLINT, MI 48532-4073
(810) 733-5310
(810) 733-1216
Mailing address
1125 S LINDEN RD, SUITE 800, FLINT, MI 48532-4073
(810) 733-5310
(810) 733-1216
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901012612
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4060491
—
MI
Enumeration date
01/05/2006
Last updated
07/08/2007
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