-- JACOB R CARROLL -- DMD
Individual Provider (NPI-1)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1205192663- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 20100 N 51ST AVE SUITE C-310, GLENDALE, AZ, 853085125
- Phone
- (623) 572-4300
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Dentist, Oral and Maxillofacial Surgery
Primary License: AZ #D9440
All Addresses
MAILING
20100 N 51ST AVE SUITE C-310
GLENDALE, AZ, 853085125