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Randy Carroll, DDS

NPI 1801063979 · on the registry since 2008 · sole proprietor

Practice

Address
22 E Washington St
#143
Roachdale, IN 46172
Phone
(765) 522-7676

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana