CARLOS ELIAS VILLACIS

BALTIMORE, MD
NPI1740835883
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MD  17083)
Additional Taxonomies122300000X Dentist
(Licence: FL  DN24460)
Enumeration Date2019-08-06
Last Update Date2019-08-15
Business Address
CARLOS ELIAS VILLACIS DDS
6105 HARFORD RD
BALTIMORE, MD 21214-1312
Phone number: 410-254-5437
Mailing Address
CARLOS ELIAS VILLACIS DDS
1211 S CONKLING ST APT 146
BALTIMORE, MD 21224-5342
Phone number: 786-566-8557
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