DR. Tara L Carroll, DDS

NPI #1134118839 in Erie, Colorado

Provider Information

NPI Number: 1134118839
Entity Type: Individual
Name: DR. Tara L Carroll, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 17, 2005
Last Updated: Feb 9, 2017

Practice Location

Address: 3200 VILLAGE VISTA DR UNIT 130
City: Erie
State: Colorado
ZIP Code: 80516-2521
Phone: (303) 962-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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