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1023043031
THOMAS MARK CARROLL
BREWERTON, NY
NPI
1023043031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NY 3T393)
Enumeration Date
2006-07-11
Last Update Date
2007-07-08
Business Address
-- THOMAS MARK CARROLL DDS
9651 BREWERTON RD
BREWERTON, NY 13029-0189
Phone number: 315-676-7900
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Mailing Address
-- THOMAS MARK CARROLL DDS
PO BOX 189 9651 BREWERTON RD
BREWERTON, NY 13029-0189
Phone number: 315-676-7900
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