Individual
JESSICA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2322 196TH ST SW # 200, LYNNWOOD, WA 98036-7010
(425) 778-4445
Mailing address
2322 196TH ST SW # 200, LYNNWOOD, WA 98036-7010
(425) 778-4445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61435294
WA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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