| NPI | 1720254410 |
|---|---|
| Former Legal Business Name | CARROLL MOBILE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | SARA E CARROLL Owner Dentist 630-906-9520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |