Organization
SEDALIA DENTAL - DR. KATHERINE CARROLL, DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE CARROLL DMD (PRESIDENT/DENTIST)
(614) 836-2222
Entity
Organization
Contact information
Practice address
5327 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 836-2222
(614) 836-0659
Mailing address
5327 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 836-2222
(614) 836-0659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30022948
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2981993
—
OH
05
—
3060431
—
OH
Enumeration date
03/28/2011
Last updated
03/28/2011
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