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1689290173
WALLACE CARRILLO-MEDINA DMD MS PA
ASHEBORO, NC
NPI
1689290173
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Entity Type
Organization
Authorized Contact
WALLACE C CARRILLO-MEDINA
President
336-629-3112
Organization Subpart ?
No
Primary Taxonomy
1223X2210X Dentist Orofacial Pain
Enumeration Date
2020-06-19
Last Update Date
2020-06-19
Business Address
WALLACE CARRILLO-MEDINA DMD MS PA
511 GREENSBORO ST
ASHEBORO, NC 27203-4736
Phone number: 336-629-3112
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Mailing Address
WALLACE CARRILLO-MEDINA DMD MS PA
511 GREENSBORO ST
ASHEBORO, NC 27203-4736
Phone number: 336-629-3112
Copy
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