DR. La Shun La Rue Carroll, D.D.S.
NPI #1104805431 in Wakefield, Rhode Island
Provider Information
- NPI Number
- 1104805431
- Entity Type
- Individual
- Name
- DR. La Shun La Rue Carroll, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jan 13, 2006
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 1 RIVER ST
- City
- Wakefield
- State
- Rhode Island
- ZIP Code
- 02879-3214
- Phone
- (401) 783-5646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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