Individual
DR. JOHN L CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1020 5TH ST SE, WINTER HAVEN, FL 33880-4210
(863) 299-1579
(863) 299-7086
Mailing address
1020 5TH ST SE, WINTER HAVEN, FL 33880-4210
(863) 299-1579
(863) 299-7086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9164
FL
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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