| NPI | 1679008908 |
|---|---|
| Doing Business As | LUIS M. CARRILLO DDS |
| Entity Type | Organization |
| Authorized Contact | LUIS MARIO CARRILLO Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 1787081) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |