Individual
MR. JUDD TIMOTHY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
103 E MAIN ST, LOWELL, MI 49331-1758
(616) 897-7595
(616) 897-7601
Mailing address
103 E MAIN ST, LOWELL, MI 49331-1758
(616) 897-7595
(616) 897-7601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901016559
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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