Organization
CARROLL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL T CARROLL (DOCTOR)
(616) 453-6323
Entity
Organization
Contact information
Practice address
4310 LEONARD ST NW STE 202, GRAND RAPIDS, MI 49534-8447
(616) 453-6323
(616) 453-0012
Mailing address
4310 LEONARD ST NW STE 202, GRAND RAPIDS, MI 49534-8447
(616) 453-6323
(616) 453-0012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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