NPI 1205383205

Janette Carroll, DDS, PLLC

Organisation Point of Service Mount Vernon, WA

Practice location

Address: 2210 Kulshan View Dr STE 101, Mount Vernon, WA 98273-2779
Phone: (360) 424-0123
Fax: (360) 424-9023
Mailing address: 2210 Kulshan View Dr Suite #101, Mount Vernon, WA 98273

Authorised official

Name: Janette Carroll
Title: Dentist
Phone: (360) 424-0123

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 6198 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1205383205
Entity type: Organization
NPI issued: 7 Sep 2016
Record last updated: 7 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.