Laura Carroll Dmd Ltd

NPI #1144560566 in Chicago, Illinois

Provider Information

NPI Number: 1144560566
Entity Type: Organization
Organization Name: Laura Carroll Dmd Ltd
Primary Specialty: Dentist
Enumeration Date: Feb 21, 2013
Last Updated: Feb 21, 2013

Practice Location

Address: 925 W MONTANA ST
Address 2: UNIT B
City: Chicago
State: Illinois
ZIP Code: 60614-2431
Phone: (502) 262-1941

Authorized Official

Name: LAURA CARROLL, DMD
Title: DENTIST
Phone: (502) 262-1941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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