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 |