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Individual

WILLIAM E CARROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MS

Contact information

Practice address
110 HARDIN LANE, SUITE 2, SOMERSET, KY 42503-3818
(606) 678-9664
(606) 679-1457
Mailing address
110 HARDIN LANE, SUITE 2, SOMERSET, KY 42503-3818
(606) 678-9664
(606) 679-1457

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7497
KY

Other

Enumeration date
01/19/2007
Last updated
07/08/2007
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