Individual
DR. LUCINDA ROSE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2500 CALIFORNIA PLAZA, OMAHA, NE 68178-0212
(402) 280-4569
Mailing address
11735 SUNBURST ST, OMAHA, NE 68164-2244
(402) 280-4569
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5317
NE
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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