Carroll, Alicia
Carroll, Alicia is an sole proprietor health care provider with primary practice located at 9580 Sw 107Th Ave #104, Miami FL 33176-2789. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Carroll, Alicia can be contacted via phone (305) 598-1902.Contact Information
Primary practice address
9580 Sw 107Th Ave #104
Miami FL 33176-2789
Phone: (305) 598-1902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN12286 | Florida |
Profile Details
| NPI number | 1164627741 |
|---|---|
| LBN Legal business name | Carroll, Alicia |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164627741 | NPPES |
| Florida | Other | 650771859 | TAX ID |
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