WALLACE CARRILLO-MEDINA DMD MS PA

ASHEBORO, NC
NPI1689290173
Entity TypeOrganization
Authorized ContactWALLACE C CARRILLO-MEDINA
President
336-629-3112
Organization Subpart ?No
Primary Taxonomy1223X2210X Dentist, Orofacial Pain
Enumeration Date2020-06-19
Last Update Date2020-06-19
Business Address
WALLACE CARRILLO-MEDINA DMD MS PA
511 GREENSBORO ST
ASHEBORO, NC 27203-4736
Phone number: 336-629-3112
Mailing Address
WALLACE CARRILLO-MEDINA DMD MS PA
511 GREENSBORO ST
ASHEBORO, NC 27203-4736
Phone number: 336-629-3112
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