Individual
AMBER MARIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12 ORTEGA ST, TAMAQUA, PA 18252-4511
(570) 668-2339
Mailing address
654 FAIRVIEW ST, TAMAQUA, PA 18252-4724
(570) 225-6765
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043585
PA
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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